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microscopy nephrology urine clinical diagnosis atlas muddybrown sediment acute ain beforect bigtrauma brown checklist differential interpretation interstitial management mbgc nephritis
Granular & “Muddy Brown” Casts on Urine Microscopy A. Finely granular cast B. slightly coarser granular cast
Granular & “Muddy ... Finely granular ... coarser granular ... coarse (c) and muddy ... brown (mb) granular
Examples of varying granular and granular/waxy mixed casts: A: coarse granular/broad-waxy (and surrounding white blood cells);
and granular/waxy ... mixed casts: ... /muddy brown granular ... , C and D: muddy ... #Casts #Urine #
Muddy Brown Granular Casts three ways - Brightfield, Darkfield, Phase Contrast. Dr. Vipin Varghese @vipvargh #Muddy #Brown #Granular
Muddy Brown Granular ... Casts three ways ... Varghese @vipvargh #Muddy ... #Brown #Granular ... #Casts #clinical
Urine Microscopy and Casts - Image Atlas Key - Squamous Epithelial Casts - Transitional Epithelial Cells - Renal Tubular
- Image Atlas Key ... Dysmorphic RBCs - Granular ... Casts - WBC Cast ... Cast - RTEC Cast ... #Atlas #Key #Clinical
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
• White cell casts ... renal disease • Granular ... renal disease • “Muddy ... brown cast” - Necrotic ... Microscopy #Atlas #key
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy - Casts ... Acellular Casts ... • Hyaline Casts ... • "Muddy Brown ... ) • Granular Casts
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
Urinary Casts and ... concentrated urine Granular ... breakdown of cellular casts ... "Muddy-brown" heme-granular ... casts are seen
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
Algorithmic Approach ... sterile pyuria, WBC casts ... tubular proteinuria, granular ... casts/RTE; blend ... Nephritis #AIN #Algorithm
Efforts to standardize the approach to trauma have led to an algorithmic, thoughtless approach to trauma
have led to an algorithmic ... rapidly implements key ... witnessed many cases
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