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

Dr. Vipin Varghese @vipvargh

#Muddy #Brown #Granular
Muddy Brown Granular ... Varghese @vipvargh #Muddy ... Casts #clinical #urine ... #microscopy #MBGC
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 ... coarse (c) and muddy ... MuddyBrown #Casts #Urine
Examples of varying granular and granular/waxy mixed casts: 
A: coarse granular/broad-waxy (and surrounding white blood cells);
light granular/muddy ... granular, C and D: muddy ... MuddyBrown #Casts #Urine
Atlas of Urine Microscopy Findings
 • Epithelial cells - Normal
 • Renal tubular cells - Acute
Atlas of Urine Microscopy ... cells - Normal • Renal ... also be seen if urine ... disease • “Muddy ... contamination #Urine
Muddy Brown Casts in ATN
#Clinical #Path #Nephro #Urine #Microscopy #MuddyBrownCasts #ATN
Muddy Brown Casts ... #Path #Nephro #Urine
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
and concentrated urine ... cellular casts "Muddy-brown ... tubulointerstitial nephritis, renal
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
Gap - UAG and Urine ... - RenalUrine ... Renal Loss of HCO3 ... - Renal insufficiency ... Hypoaldosteronism - Renal
Renal Tubular Acidosis - Differential Diagnosis Algorithm
Decreased Serum K, Urine pH < 5.5 - Proximal RTA
Decreased
Renal Tubular Acidosis ... Decreased Serum K, Urine ... Decreased Serum K, Urine ... = Hyperkalemic Renal ... uncimchiefs #RTA #Renal
General approach to AKI - Checklist

Urine electrolytes & FENa - Previously, it was believed that urine
- Checklist Urine ... believed that urine ... differentiate between pre-renal ... and intrinsic renal ... Urine eosinophils
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
uric acid >4 • Urine ... Na <20: Extra-renal ... losses • Urine ... Na >30: Renal losses ... Na > 30: Renal