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nephrology diagnosis clinical differential microscopy algorithm neurology physicalexam syndrome causes granular gunn hypokalemia jaw management marcus nephrotic phenomenon proteinuria reflex
Granular & “Muddy Brown” Casts on Urine Microscopy A. Finely granular cast B. slightly coarser granular cast
“Muddy Brown” Casts ... on Urine Microscopy ... of mb granular casts ... Granular #MuddyBrown #Casts ... #Clinical #Nephrology
Lipid Casts on Urine Microscopy Dr. Telma Lemos @TELMALEMOS10 #Lipid #Casts #Urine #Microscopy #clinical #fatty #nephrology
Lipid Casts on Urine ... TELMALEMOS10 #Lipid #Casts ... #Urine #Microscopy ... clinical #fatty #nephrology
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 Waxy Casts on Urine Microscopy Dr. Telma Lemos @TELMALEMOS10 #Waxy #Casts #Urine #Microscopy #clinical #nephrology
Waxy Casts on Urine ... TELMALEMOS10 #Waxy #Casts ... #Urine #Microscopy ... #clinical #nephrology
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 RBC Casts on Urine Microscopy Dr. Telma Lemos @TELMALEMOS10 #RBC #Casts #Urine #Microscopy #clinical #nephrology
RBC Casts on Urine ... TELMALEMOS10 #RBC #Casts ... #Urine #Microscopy ... #clinical #nephrology
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 Waxy and granular casts - brightfield urine microscopy Dr. Telma Lemos @TELMALEMOS10 #Waxy #granular #casts #Urine #Microscopy #clinical
Waxy and granular casts ... - brightfield urine ... Waxy #granular #casts ... #Urine #Microscopy ... #clinical #nephrology
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 Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... - Casts Acellular ... Casts • Hyaline ... #Urine #Microscopy ... #nephrology #interpretation
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
• White cell casts ... infection • Hyaline casts ... disease • Granular casts ... key #diagnosis #nephrology ... #casts
Muddy Brown Granular Casts three ways - Brightfield, Darkfield, Phase Contrast. Dr. Vipin Varghese @vipvargh #Muddy #Brown #Granular
Brown Granular Casts ... Brown #Granular #Casts ... #clinical #urine ... microscopy #MBGC #nephrology
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
WBCs, or urine ... proteinuria, RBC casts ... → Refer to Nephrology ... cystoscopy • Refer to Nephrology ... if cause not identified
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
require urgent nephrology ... PROBLEM ~80% of AKI cases ... are caused by prerenal ... IMPROVEMENT If the urine ... for WBCs, RBCs, casts
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