14 results
Waxy and granular casts - brightfield urine microscopy

Dr. Telma Lemos @TELMALEMOS10

#Waxy #granular #casts #Urine #Microscopy #clinical
Waxy and granular ... urine microscopy ... TELMALEMOS10 #Waxy #granular ... Microscopy #clinical ... #nephrology
Examples of varying granular and granular/waxy mixed casts: 
A: coarse granular/broad-waxy (and surrounding white blood cells);
and granular/waxy ... mixed casts: ... surrounding white blood ... #Casts #Urine # ... Microscopy #Clinical
Granular & “Muddy Brown” Casts on Urine Microscopy
A. Finely granular cast B. slightly coarser granular cast
Brown” Casts on ... Urine Microscopy ... casts is better ... Microscopy #Clinical ... #Nephrology #Sediment
Muddy Brown Granular Casts three ways - Brightfield, Darkfield, Phase Contrast.

Dr. Vipin Varghese @vipvargh

#Muddy #Brown #Granular
Muddy Brown Granular ... Casts three ways ... #Muddy #Brown #Granular ... #urine #microscopy ... #MBGC #nephrology
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
concentrated urine Granular ... Muddy-brown" heme-granular ... disease Red blood ... #Differential #Microscopy ... #Diagnosis #Nephrology
Atlas of Urine Microscopy Findings
 • Epithelial cells - Normal
 • Renal tubular cells - Acute
Atlas of Urine Microscopy ... fresh at time of microscopy ... glomerular disease • Leukocytes ... renal disease • Granular ... key #diagnosis #nephrology
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
sterile pyuria, WBC casts ... eosinophiluria, microscopic ... tubular proteinuria, granular ... casts/RTE; blend ... AIN #Algorithm #nephrology
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
urine • 1ml blood ... urine sediment Microscopic ... microscopic and ... #urology #nephrology ... #renal #urine #blood
Urine Microscopy - Casts
Acellular Casts
 • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... Casts • Hyaline ... ) • Granular Casts ... #Urine #Microscopy ... #nephrology #interpretation
Leukemias Overview: ALL, CML, AML, APML, CLL

Acute leukemias > 20% blasts in the peripheral blood smear
the peripheral blood ... Blast cells - Blood ... blast cells - Blood ... -> AML: Blast crises ... distinctive primary granules