5855 results
Seborrheic keratosis 
 - Well-circumscribed, stuck-on appearance 
 - Waxy texture 
 - Verrucous surface
have crumbly, granular ... #Dermatology #Diagnosis
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
concentrated urine Granular ... Muddy-brown" heme-granular ... Differential #Microscopy #Diagnosis
Salivary acinic cell carcinoma is usually an H&E diagnosis for me- but this zymogen-granule poor variant
usually an H&E diagnosis ... but this zymogen-granule ... , PAS+ zymogen granules
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
tubular proteinuria, granular ... Algorithm #nephrology #diagnosis
Rapidly Progressive Glomerulonephritis (RPGN)
RPGN has three primary pathophysiologic causes differentiated by immunofluorescence

Immune Complex Mediated (granular staining):
Complex Mediated (granular ... #differential #diagnosis
Atlas of Urine Microscopy Findings
 • Epithelial cells - Normal
 • Renal tubular cells - Acute
Red cell casts - Diagnostic ... renal disease • Granular ... Microscopy #Atlas #key #diagnosis
Microscopic examination of vaginal samples. A, Normal saline wet mount showing a clump of three normal
characteristic granular ... #Clinical #Diagnosis
Urine Microscopy - Casts
Acellular Casts
 • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
) • Granular Casts ... interpretation #diagnosis
A 37-year-old woman initially presented with pancytopenia and found to have leukopenia (2.1 × 103/μL) with
abundant cytoplasmic granules ... She was diagnosed ... decreased secondary granules
Basophilia - Differential Diagnosis Framework

Basophils < 1% of the total white blood cell count
Basophils function similarly
- Differential Diagnosis ... histamine in their granules ... #Differential #Diagnosis