5963 results
Granular & “Muddy Brown” Casts on Urine Microscopy
A. Finely granular cast B. slightly coarser granular cast
“Muddy Brown” Casts ... Finely granular cast ... coarser granular cast ... (mb) granular cast ... #Granular #MuddyBrown
Examples of varying granular and granular/waxy mixed casts: 
A: coarse granular/broad-waxy (and surrounding white blood cells);
granular/waxy mixed casts ... #Granular #MuddyBrown ... #Casts #Urine #
Urine Microscopy and Casts - Image Atlas Key

- Squamous Epithelial Casts
- Transitional Epithelial Cells
- Renal Tubular
Microscopy and Casts ... - WBC Cast - ... RBC Cast - Fatty ... Cast - Waxy Cast ... - RTEC Cast
Urine Microscopy - Casts
Acellular Casts
 • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy - Casts ... Acellular Casts ... • Hyaline Casts ... "Muddy Brown" Casts ... interpretation #diagnosis
Mixed Cellular Casts on Urine Microscopy

Degenerating mixed cellular cast - brightfield, unstained - from patient with
Mixed Cellular Casts ... mixed cellular cast ... #Cellular #Casts
Atlas of Urine Microscopy Findings
 • Epithelial cells - Normal
 • Renal tubular cells - Acute
- Diagnostic of ... • White cell casts ... • “Muddy brown cast ... Microscopy #Atlas #key #diagnosis ... #nephrology #casts
Acute Kidney Injury - Differential Diagnosis Framework
PRERENAL:
 - Intrarenal vasoconstriction-hemodynamically mediated
 - Systemic vasodilation
 - Volume
- Differential Diagnosis ... Volume depletion - Diagnosis ... white blood cell casts ... renal tubular cell casts ... or pigmented casts
Glomerular Diseases - Nephritic and Nephrotic Syndromes

Nephritic syndrome—due to GBM disruption. 
Hypertension. t BUN and creatinine.
RBC casts in urine ... but in severe cases ... Proteinuria #Nephrology #Diagnosis
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
Urinary Casts and ... breakdown of cellular casts ... heme-granular casts ... 34t5DgJ #Urinary #Casts ... Differential #Microscopy #Diagnosis
Lipid Casts on Urine Microscopy

Dr. Telma Lemos @TELMALEMOS10

#Lipid #Casts #Urine #Microscopy #clinical #fatty #nephrology
Lipid Casts on Urine ... TELMALEMOS10 #Lipid #Casts