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nephrology diagnosis clinical differential causes hematuria urology acutekidneyinjury aki algorithm atlas gitelman interpretation key management mbgc microscopic muddy muddybrown sediment
Granular & “Muddy Brown” Casts on Urine Microscopy A. Finely granular cast B. slightly coarser granular cast
Brown” Casts 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
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 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
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
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
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
• 1ml blood/liter ... hematuria: - RBC casts ... Dysmorphic RBC - Brown ... #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
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