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diagnosis differential nephrology management hepatology causes microscopy clinical urine syndrome granular muddybrown pulmonary acute checklist chronic cystic hematology hepatic hepatitis
Granular & “Muddy Brown” Casts on Urine Microscopy A. Finely granular cast B. slightly coarser granular cast
Granular & “Muddy ... Brown” Casts on ... Finely granular cast ... coarser granular cast ... coarse (c) and muddy
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
Examples of varying granular and granular/waxy mixed casts: A: coarse granular/broad-waxy (and surrounding white blood cells);
granular/waxy mixed casts ... light granular/muddy ... granular, C and D: muddy ... Granular #MuddyBrown #Casts
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Non-specific, but can ... be seen in dehydration ... • "Muddy Brown ... Non-specific; seen in ... inflammation (which can
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
microscopy • Red cell casts ... • White cell casts ... disease • Granular casts ... renal disease • “Muddy ... brown cast” - Necrotic
Muddy Brown Casts in ATN #Clinical #Path #Nephro #Urine #Microscopy #MuddyBrownCasts #ATN
Muddy Brown Casts ... in ATN #Clinical
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
Urinary Casts and ... nonspecific; seen in ... "Muddy-brown" heme-granular ... casts are seen ... in acute tubular
Core IM: Pearls on Contrast-Induced Nephropathy Definition: • no slam dunk criteria • definition in
• definition in ... typically increase in ... signs of ATN (muddy ... brown casts) ... #Nephropathy #CIN
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
ascites albumin gradient ... Cirrhosis, Late Budd-Chiari ... pericarditis, Early Budd-Chiari ... ascites #albumin #gradient ... differential #diagnosis #algorithm
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
Algorithmic Approach ... When to suspect AIN ... sterile pyuria, WBC casts ... proteinuria, granular casts ... #Algorithm #nephrology
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