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differential management nephrology neurology dermatology hematology pediatrics peds clinical endocrinology cardiology treatment acute obgyn pulmonary workup syndrome radiology ddxof chronic
Granular & “Muddy Brown” Casts on Urine Microscopy A. Finely granular cast B. slightly coarser granular cast
Granular & “Muddy ... Brown” Casts on ... coarse (c) and muddy ... of mb granular casts ... Granular #MuddyBrown #Casts
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
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy - Casts ... Acellular Casts ... • Hyaline Casts ... • "Muddy Brown ... interpretation #diagnosis
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
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
• White cell casts ... infection • Hyaline casts ... disease • Granular casts ... renal disease • “Muddy ... #nephrology #casts
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
Urinary Casts and ... breakdown of cellular casts ... "Muddy-brown" heme-granular ... casts are seen ... 34t5DgJ #Urinary #Casts
Drugs Causing Acute Pancreatitis Class Ia: The medications in which there was a rechallenge and other causes
out other common causes ... Class II: Cases ... repolted in more than cases ... Cases lack rechallenge ... #Differential #Diagnosis
Muddy Brown Casts in ATN #Clinical #Path #Nephro #Urine #Microscopy #MuddyBrownCasts #ATN
Muddy Brown Casts
Core IM: Pearls on Contrast-Induced Nephropathy Definition: • no slam dunk criteria • definition in
tubular necrosis Diagnosis ... signs of ATN (muddy ... brown casts) ... sensitivity —100%) #Diagnosis
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
Algorithmic Approach ... sterile pyuria, WBC casts ... proteinuria, granular casts ... Nephritis #AIN #Algorithm ... #nephrology #diagnosis
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