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diagnosis casts microscopy differential nephrology urine hepatology albumin ascites clinical muddybrown serum atlas brown causes hypertension interpretation key mbgc portal
Examples of varying granular and granular/waxy mixed casts: A: coarse granular/broad-waxy (and surrounding white blood cells);
Examples of varying granular ... and granular/waxy ... /muddy brown granular ... , C and D: muddy ... brown granular/
Muddy Brown Granular Casts three ways - Brightfield, Darkfield, Phase Contrast. Dr. Vipin Varghese @vipvargh #Muddy #Brown #Granular
Muddy Brown Granular ... Varghese @vipvargh #Muddy ... #Brown #Granular
Granular & “Muddy Brown” Casts on Urine Microscopy A. Finely granular cast B. slightly coarser granular cast
Granular & “Muddy ... Finely granular ... slightly coarser granular ... coarse (c) and muddy ... brown (mb) granular
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
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG) SAAG ≥ 1.1: • Cirrhosis • Portal
Ascites Albumin Gradient ... (SAAG) SAAG ... thrombosis • Late budd-chiari ... obstruction • Early budd-chiari ... Serum #Albumin #Gradient
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
concentrated urine Granular ... cellular casts "Muddy-brown ... " heme-granular
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
• "Muddy Brown ... ) • Granular Casts
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
renal disease • Granular ... renal disease • “Muddy
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
) estimated by gradient ... HTN: ascites (SAAG ... pericarditis • Budd
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
Ascites Albumin Gradient ... (SAAG) - Differential ... Diagnosis High albumin gradient ... vein thrombosis (Budd-Chiari ... ischemia/infarction #SAAG
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