6 results
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 ... #Granular #MuddyBrown
Hypoxemia Differential Diagnosis Algorithm by A-a Gradient

Normal A-a Gradient:
 • ↓ Atmospheric pressure
 • Hypoventilation: CNS
Hypoxemia Differential ... MatthewHoMD #Hypoxemia ... #Hypoxia #Differential ... Algorithm #pulmonary #Aa
Granular & “Muddy Brown” Casts on Urine Microscopy
A. Finely granular cast B. slightly coarser granular cast
Granular & “Muddy ... coarse (c) and muddy ... #Granular #MuddyBrown
Muddy Brown Sclera: Brownish discoloration of sclera occasionally seen in African Americans. 
It is a variant
Muddy Brown Sclera ... Ophthalmology #Normal #MuddyBrown ... #Sclera #AA #Photo
Core IM: Pearls on Contrast-Induced Nephropathy

Definition: 
 • no slam dunk criteria 
 • definition in
models suggests hypoxic ... signs of ATN (muddy
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
UnremarkableLab #AA ... arterial #pulmonary #Hypoxia ... #hypoxemia #differential