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Muddy Brown Granular Casts three ways - Brightfield, Darkfield, Phase Contrast.

Dr. Vipin Varghese @vipvargh

#Muddy #Brown #Granular
Muddy Brown Granular ... vipvargh #Muddy #Brown ... Casts #clinical #urine ... #microscopy #MBGC
Causes of Abnormal Urine Colors - Differential Diagnosis
Blue-Green - Yellow - Orange - Pink - Red
Causes of Abnormal Urine ... - Pink - Red - Brown ... White - Purple #Urine
Granular & “Muddy Brown” Casts on Urine Microscopy
A. Finely granular cast B. slightly coarser granular cast
Granular & “Muddy Brown ... ” Casts on Urine ... “urine poker quads ... (c) and muddy brown ... MuddyBrown #Casts #Urine
Examples of varying granular and granular/waxy mixed casts: 
A: coarse granular/broad-waxy (and surrounding white blood cells);
granular/muddy brown ... C and D: muddy brown ... MuddyBrown #Casts #Urine
What the Color of Urine Can Tell You - Differential Diagnosis by Urine Color
Clear: excess water
Pale
What the Color of Urine ... Differential Diagnosis by Urine ... phenazopyridine Brown ... Purple (Purple Urine ... BrighamChiefs #Urine
Laboratory Testing in Hemolytic Anemia

Intravascular vs Extravascular Hemolysis
Reticulocytes
Unconjugated bilirubin
LDH
Peripheral smear
Haptoglobin
Urine hemosiderin
Urine hemoglobin
Carboxyhemoglobin

#Hemolytic #Anemia #Laboratory #Testing #workup
Haptoglobin Urine ... hemosiderin Urine ... Laboratory #Testing #workup
Urine Color - Differential Diagnosis
Red Urine:
 • Medical conditions: bleeding, porphyria, factitious disorder
 • Meds: rifampin,
Urine Color - Differential ... Diagnosis Red Urine ... spinach) Orange Urine ... vitamin B complex Brown ... /Black Urine: •
Metabolic Pathways of Purple Urine Bag Syndrome: Adopted from chart originally published in Purple Urine Bag
Pathways of Purple Urine ... published in Purple Urine ... Bacteria commonly grown ... in the urine culture ... #PUBS #Purple #Urine
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
Framework and Workup ... Gap - UAG and Urine ... gap - UA with urine ... Gap - Estimate urine ... Differential #Diagnosis #Workup
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... Symptoms of UTI, urine ... WBCs, or urine ... → Urine culture ... Diagnosis #Algorithm #Workup