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clinical ultrasound cardiology echocardiogram lung algorithm ebm pulmonary differential radiology visualabstract abdominal management msk ocular comparison covid19 evaluation em renal
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
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 ... Differential #Microscopy #Diagnosis
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
Red cell casts - Diagnostic ... renal disease • Granular ... renal disease • “Muddy ... Microscopy #Atlas #key #diagnosis
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
• "Muddy Brown ... ) • Granular Casts ... interpretation #diagnosis
Seborrheic keratosis - Well-circumscribed, stuck-on appearance - Waxy texture - Verrucous surface
have crumbly, granular ... #Dermatology #Diagnosis
Core IM: Pearls on Contrast-Induced Nephropathy Definition: • no slam dunk criteria • definition in
tubular necrosis Diagnosis ... signs of ATN (muddy ... sensitivity —100%) #Diagnosis
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
tubular proteinuria, granular ... Algorithm #nephrology #diagnosis
Rapidly Progressive Glomerulonephritis (RPGN) RPGN has three primary pathophysiologic causes differentiated by immunofluorescence Immune Complex Mediated (granular staining):
Complex Mediated (granular ... #differential #diagnosis
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