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clinical microscopy diagnosis pathology casts urine nephrology nejm photo differential hematology smear auer dermatology leukemia ophthalmology rods tularemia actinomycosis acute
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 ... casts: A: coarse granular ... /muddy brown granular ... #Granular #MuddyBrown
Granular & “Muddy Brown” Casts on Urine Microscopy A. Finely granular cast B. slightly coarser granular cast
Granular & “Muddy ... Finely granular ... slightly coarser granular ... muddy brown (mb) granular ... #Granular #MuddyBrown
Waxy and granular casts - brightfield urine microscopy Dr. Telma Lemos @TELMALEMOS10 #Waxy #granular #casts #Urine #Microscopy #clinical
Waxy and granular ... TELMALEMOS10 #Waxy #granular
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 Muddy Brown Granular Casts three ways - Brightfield, Darkfield, Phase Contrast. Dr. Vipin Varghese @vipvargh #Muddy #Brown #Granular
Muddy Brown Granular ... #Muddy #Brown #Granular
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
concentrated urine Granular ... Muddy-brown" heme-granular
Seborrheic keratosis - Well-circumscribed, stuck-on appearance - Waxy texture - Verrucous surface
have crumbly, granular
Glitter Cells on Urine Microscopy Glitter cells in the urine are viable and pale staining WBCs with
with cytoplasmic granular
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 Urine Microscopy and Casts - Image Atlas Key - Squamous Epithelial Casts - Transitional Epithelial Cells - Renal Tubular
Dysmorphic RBCs - Granular
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
tubular proteinuria, granular
Rapidly Progressive Glomerulonephritis (RPGN) RPGN has three primary pathophysiologic causes differentiated by immunofluorescence Immune Complex Mediated (granular staining):
Complex Mediated (granular
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