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

Dr. Vipin Varghese @vipvargh

#Muddy #Brown #Granular
Muddy Brown Granular ... Varghese @vipvargh #Muddy
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
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
Diagnosis of ascites ... SAAG ≥ 1.1: - Ascitic ... Cirrhosis, Late Budd-Chiari ... metastases - Ascitic ... pericarditis, Early Budd-Chiari
Granular & “Muddy Brown” Casts on Urine Microscopy
A. Finely granular cast B. slightly coarser granular cast
Granular & “Muddy ... coarse (c) and muddy
Muddy Brown Casts in ATN
#Clinical #Path #Nephro #Urine #Microscopy #MuddyBrownCasts #ATN
Muddy Brown Casts
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Ascites Differential ... Table - Serum Ascites ... thrombosis • Late budd-chiari ... obstruction • Early budd-chiari ... • Pancreatic ascites
Core IM: Pearls on Contrast-Induced Nephropathy

Definition: 
 • no slam dunk criteria 
 • definition in
signs of ATN (muddy
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites ... pericarditis • Budd-Chiari ... Hemoperitoneum • Chylous ascites ... amzn.to/2LmUODZ #Ascites
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
cellular casts "Muddy-brown
Systemic Lupus Erythematosus: Gastrointestinal Manifestations
 - Thrombosis of vessels in the pancreas, Vasculitis -> Acute Pancreatitis
Liver Enzymes - Budd ... Enteropathy -> Ascites