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Urine Microscopy and Casts - Image Atlas Key

- Squamous Epithelial Casts
- Transitional Epithelial Cells
- Renal Tubular
Microscopy and Casts ... - WBC Cast - ... RBC Cast - Fatty ... Cast - Waxy Cast ... - RTEC Cast
Atlas of Urine Microscopy Findings
 • Epithelial cells - Normal
 • Renal tubular cells - Acute
microscopy • Red cell casts ... glomerular disease • Leukocytes ... • White cell casts ... disease • Granular casts ... • “Muddy brown cast
Granular & “Muddy Brown” Casts on Urine Microscopy
A. Finely granular cast B. slightly coarser granular cast
“Muddy Brown” Casts ... Finely granular cast ... coarser granular cast ... (mb) granular cast ... by a waxy (wx) cast
Leukocyte Esterase and Nitrites on Urinalysis
Leukocyte Esterase: Urinary tract infection, Indwelling urinary catheter, Recent instrumentation of
Leukocyte Esterase ... on Urinalysis Leukocyte ... EricsMedicalLectures/ #Leukocyte
Urine Microscopy - Casts
Acellular Casts
 • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy - Casts ... Acellular Casts ... • Hyaline Casts ... "Muddy Brown" Casts ... Cellular Casts:
Mixed Cellular Casts on Urine Microscopy

Degenerating mixed cellular cast - brightfield, unstained - from patient with
Mixed Cellular Casts ... mixed cellular cast ... #Cellular #Casts
Urinalysis & Urine Sodium 
Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
• Ketones • Leukocyte ... • Urinary casts ... dipstick #nitrite #leucocyte-esterase ... #urine #UNa #casts
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
Emphysema - Lung cysts ... TractionBronchiectasis #Cysts ... Emphysema #SignetRing #RadiologyAssistant
Leukemias Overview: ALL, CML, AML, APML, CLL

Acute leukemias > 20% blasts in the peripheral blood smear
• Blasts > 10% leukocytes ... Splenomegaly • ↑ Leukocyte ... Lymphadenopathy/HSM Leukocyte ... AML Dx: • ↑ Leukocyte ... differentiated leukocytes
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
(LAM): uniform cysts ... bizarre shaped cysts ... Comparison #Table #RadiologyAssistant