31 results
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
albumin gradient (SAAG ... ) SAAG ≥ 1.1: ... Cirrhosis, Late Budd-Chiari ... syndrome, Massive liver ... pericarditis, Early Budd-Chiari
Muddy Brown Granular Casts three ways - Brightfield, Darkfield, Phase Contrast.

Dr. Vipin Varghese @vipvargh

#Muddy #Brown #Granular
Muddy Brown Granular ... Varghese @vipvargh #Muddy
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Albumin Gradient (SAAG ... ) SAAG ≥ 1.1: ... thrombosis • Late budd-chiari ... obstruction • Early budd-chiari ... SAAG < 1.1:
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
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
hypertension (SAAG ... insufficiency - Budd-Chiari ... Liver disease ... - Acute fatty liver ... - Myxedema (SAAG
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
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Deciphering the SAAG ... either made in the liver ... or not by the liver ... fibrosis) High SAAG ... oncotic pressure Low SAAG
"Buddy View" - Testicular Ultrasound

Dr. Meghan Herbst @EUSmkh

#Buddy #View #Testicular #Ultrasound #clinical #scrotal #anatomy #labeled
"Buddy View" - Testicular ... Herbst @EUSmkh #Buddy
Core IM: Pearls on Contrast-Induced Nephropathy

Definition: 
 • no slam dunk criteria 
 • definition in
signs of ATN (muddy