9 results
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
Muddy Brown Granular Casts three ways - Brightfield, Darkfield, Phase Contrast.

Dr. Vipin Varghese @vipvargh

#Muddy #Brown #Granular
Muddy Brown Granular ... Casts three ways ... Dr. ... #urine #microscopy ... #MBGC #nephrology
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
and concentrated urine ... Granular - May ... casts are seen ... tubulointerstitial nephritis, renal ... #Differential #Microscopy
Atlas of Urine Microscopy Findings
 • Epithelial cells - Normal
 • Renal tubular cells - Acute
Atlas of Urine Microscopy ... also be seen if urine ... disease • Granular ... #Microscopy #Atlas ... key #diagnosis #nephrology
Urine Microscopy - Casts
Acellular Casts
 • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... ) • Granular Casts ... non-infectious) - Dr ... #Urine #Microscopy ... #nephrology #interpretation
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
• 1ml blood/liter ... hematuria: - RBC casts ... Diagnosis #causes #urology ... #nephrology #renal ... #urine #blood
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 ... AcuteKidneyInjury #AKI #Nephrology
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
Gitelman Syndrome - Diagnosis and Workup
Blood Work:
 - Hypokalemia
 - Hypomagnesemia
 - Metabolic Alkalosis
 - Elevated
Diagnosis and Workup Blood ... Elevated Renin Urine ... Ultrasound - No ... mutations in SLC12A3 Dr ... Diagnosis #Workup #nephrology