11 results
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
Acute promyelocytic leukemia (blood). Typical morphologic features are bilobed ("butterfly") nuclei with dispersed chromatin, subtle to
overt cytoplasmic granules ... , and Auer rods. ... KyleBradleyMD #Auer
Here are very large, immature myeloblasts with many nucleoli. A distincitve feature of these blasts is
a linear red "Auer ... of crystallized granules ... Smear #Microscopy #Auer
A 37-year-old woman initially presented with pancytopenia and found to have leukopenia (2.1 × 103/μL) with
abundant cytoplasmic granules ... with occasional Auer ... decreased secondary granules ... consistent with Auer ... addition to APL, Auer
Seborrheic keratosis 
 - Well-circumscribed, stuck-on appearance 
 - Waxy texture 
 - Verrucous surface
have crumbly, granular ... Benign #Clinical #Photo
The Many Faces of Tularemia
 • Glandular
 • Ulceroglandular
 • Parinaud's Ulceroglandular
 • Pharyngeal
 • Pneumonic
Tularemia • Glandular ... Tularemia #clinical #photo
Muddy Brown Sclera: Brownish discoloration of sclera occasionally seen in African Americans. 
It is a variant
Ophthalmology #Normal #MuddyBrown ... #Sclera #AA #Photo
Leukemias Overview: ALL, CML, AML, APML, CLL

Acute leukemias > 20% blasts in the peripheral blood smear
Age: 50-60 • Auer ... distinctive primary granules
Glandular Tularemia- ...The patient’s physical examination revealed three erythematous, tender lymph nodes...Serologic testing with IgM antibody
Glandular Tularemia ... A diagnosis of glandular ... Glandular tularemia ... NEJM #clinical #photo ... Francisella #tularensis #glandular