41 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 ... appreciated at low
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
- RenalUrine ... Renal Loss of HCO3 ... • Serum K low ... Proximal RTA: • Low ... • Serum K: low
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
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Na <20: Extra-renal ... Na >30: Renal losses ... Hypothyroidism, Low ... Na > 30: Renal ... diagnosis #sodium #low
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Osmolarity 2) Urine ... Osmolarity 3) Urine ... Uric Acid - Low ... High Uric Acid → renal ... nephrology #sodium #low
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
hyperaldosteronism • Low ... Urine Cl-: Vomiting ... , NGT suction, Low ... (late) • High Urine ... hyperaldosteronism • High PRA: Renal
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
hyperaldosteronism • Low ... Urine Cl-: Vomiting ... , NGT suction, Low ... (late) • High Urine ... hyperaldosteronism • High PRA: Renal
Approach to Hypomagnesemia 

Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
of magnesium = (urine ... serum magnesium x urine ... cells FEMg >4% = renal ... magnesium loss if renal ... nephrology #magnesium #low
Types of Renal Calculi

Calcium oxalate
 - Interstitial apatite plaque, Low urine volume, Increased urinary calcium excretion,
apatite plaque, Low ... urine volume, Increased ... collecting duct plaque, Low ... urine volume, Increased ... and intestine, Low