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diagnosis differential management causes treatment nephrology ddxof peds workup hematology cardiology gastroenterology pulmonary evaluation em pediatrics endocrinology criticalcare neurology dermatology
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
Algorithmic Approach ... tubular proteinuria, granular ... Nephritis #AIN #Algorithm
Rapidly Progressive Glomerulonephritis (RPGN) RPGN has three primary pathophysiologic causes differentiated by immunofluorescence Immune Complex Mediated (granular staining):
Complex Mediated (granular ... differential #diagnosis #algorithm
Examples of varying granular and granular/waxy mixed casts: A: coarse granular/broad-waxy (and surrounding white blood cells);
Examples of varying granular ... and granular/waxy ... casts: A: coarse granular ... /muddy brown granular ... #Granular #MuddyBrown
Granular & “Muddy Brown” Casts on Urine Microscopy A. Finely granular cast B. slightly coarser granular cast
Granular & “Muddy ... Finely granular ... slightly coarser granular ... muddy brown (mb) granular ... #Granular #MuddyBrown
Waxy and granular casts - brightfield urine microscopy Dr. Telma Lemos @TELMALEMOS10 #Waxy #granular #casts #Urine #Microscopy #clinical
Waxy and granular ... TELMALEMOS10 #Waxy #granular
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 Muddy Brown Granular Casts three ways - Brightfield, Darkfield, Phase Contrast. Dr. Vipin Varghese @vipvargh #Muddy #Brown #Granular
Muddy Brown Granular ... #Muddy #Brown #Granular
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
concentrated urine Granular ... Muddy-brown" heme-granular
Seborrheic keratosis - Well-circumscribed, stuck-on appearance - Waxy texture - Verrucous surface
have crumbly, granular
Glitter Cells on Urine Microscopy Glitter cells in the urine are viable and pale staining WBCs with
with cytoplasmic granular
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 Urine Microscopy and Casts - Image Atlas Key - Squamous Epithelial Casts - Transitional Epithelial Cells - Renal Tubular
Dysmorphic RBCs - Granular
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