11 results
Granular & “Muddy Brown” Casts on Urine Microscopy
A. Finely granular cast B. slightly coarser granular cast
BrownCasts on ... Urine Microscopy ... (mb) granular cast ... #Casts #Urine # ... #Nephrology #Sediment
Muddy Brown Granular Casts three ways - Brightfield, Darkfield, Phase Contrast.

Dr. Vipin Varghese @vipvargh

#Muddy #Brown #Granular
Muddy Brown Granular ... #Granular #Casts ... #clinical #urine ... #microscopy #MBGC ... #nephrology
Waxy and granular casts - brightfield urine microscopy

Dr. Telma Lemos @TELMALEMOS10

#Waxy #granular #casts #Urine #Microscopy #clinical
Waxy and granular ... urine microscopy ... Dr. ... #casts #Urine # ... #nephrology
Atlas of Urine Microscopy Findings
 • Epithelial cells - Normal
 • Renal tubular cells - Acute
Atlas of Urine Microscopy ... also be seen if urine ... disease • Granular ... • “Muddy brown ... key #diagnosis #nephrology
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
and concentrated urine ... "Muddy-brown" heme-granular ... casts are seen ... tubulointerstitial nephritis, renal ... #Differential #Microscopy
Urine Microscopy - Casts
Acellular Casts
 • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... • "Muddy Brown ... ) • Granular Casts ... #Urine #Microscopy ... #nephrology #interpretation
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
- Urinalysis/microscopy ... UOP/weights - Urine ... ATN - 45% - Pre-renal ... mostly ATN and pre-renal ... #Nephrology #Diagnosis
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
sediment Microscopic ... hematuria: - RBC casts ... Dysmorphic RBC - Brown ... Diagnosis #causes #urology ... #nephrology #renal
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
require urgent nephrology ... cases are caused ... IMPROVEMENT If the urine ... Assess UA w/ microscopy ... for WBCs, RBCs, casts
Approach to Microscopic Hematuria 

Microscopic hematuria is often incidental but may be associated with urologic malignancy.
RBC's, cellular casts ... properly collected urine ... with cystoscopy & renal ... ultrasound ... diagnosis #management #urology