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

Dr. Vipin Varghese @vipvargh

#Muddy #Brown #Granular
Muddy Brown Granular ... Varghese @vipvargh #Muddy ... #Brown #Granular ... urine #microscopy #MBGC
Examples of varying granular and granular/waxy mixed casts: 
A: coarse granular/broad-waxy (and surrounding white blood cells);
Examples of varying granular ... and granular/waxy ... /muddy brown granular ... , C and D: muddy ... brown granular/
Granular & “Muddy Brown” Casts on Urine Microscopy
A. Finely granular cast B. slightly coarser granular cast
Granular & “Muddy ... Finely granular ... slightly coarser granular ... coarse (c) and muddy ... brown (mb) granular
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
concentrated urine Granular ... cellular casts "Muddy-brown ... " heme-granular
Urine Microscopy - Casts
Acellular Casts
 • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
• "Muddy Brown ... ) • Granular Casts
Atlas of Urine Microscopy Findings
 • Epithelial cells - Normal
 • Renal tubular cells - Acute
renal disease • Granular ... renal disease • “Muddy
Glandular Tularemia- ...The patient’s physical examination revealed three erythematous, tender lymph nodes...Serologic testing with IgM antibody
Glandular Tularemia ... A diagnosis of glandular ... Glandular tularemia ... #NEJM #clinical ... Francisella #tularensis #glandular
An oral examination revealed gingival hyperplasia with a granular and hemorrhagic appearance typical of “strawberry gingivitis.”
hyperplasia with a granular ... GingivalHyperplasia #NEJM
Dubin-Johnson Syndrome - A laparoscopic exploration revealed a smooth liver with normal consistency and morphologic features
deep-brown, pigmented granules ... Syndrome #Microscopy #NEJM
Pigmented Macule - A Skin Manifestation of Invasive Breast Cancer - However, a pigmented macule that
deposits of melanin granules ... PigmentedMacule #Microscopy #NEJM