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Nucleated red blood cells, aka normoblasts or erythroblasts, were released prematurely from the bone marrow in
blood cells, aka normoblasts ... polychromatophilic normoblast ... are orthochromic normoblasts ... – orthochromic normoblast ... Smear #Nucleated #RBCs
Urine Microscopy and Casts - Image Atlas Key

- Squamous Epithelial Casts
- Transitional Epithelial Cells
- Renal Tubular
Urine Microscopy ... - Monomorphic RBCs ... - Dysmorphic RBCs ... - WBC Cast - RBC ... JoseTesser) #Urine
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Urinalysis >3 RBCs ... Symptoms of UTI, urine ... WBCs, or urine ... → Urine culture ... (proteinuria, RBC
Causes of Anemia with Normal Mean Corpuscular Volume (MCV) - Differential Diagnosis Algorithm
Decreased WBCs
 - Decreased/NormaI
Normal/lncreased WBCs ... Macrocytes, Normal RBCs ... Polychromatic Macrocytes, RBC ... Spherocytes, RBC ... ) - Abnormal RBCs
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
glomerular hematuria (RBC ... or dysmorphic RBCs ... in urine)?
RBC Casts on Urine Microscopy

Dr. Telma Lemos @TELMALEMOS10

#RBC #Casts #Urine #Microscopy #clinical #nephrology
RBC Casts on Urine ... TELMALEMOS10 #RBC ... #Casts #Urine #
Overall Approach to Anemia - Differential Diagnosis Algorithm

Blood Loss
 • Acute Bleed - Normocytic / Normochromic
/ Normochromic RBCs ... TIBC, Hypochromic RBCs ... Decreased RBC ... Thalassemia • RBC ... Disorder • RBC
Glitter Cells on Urine Microscopy
Glitter cells in the urine are viable and pale staining WBCs with
Glitter Cells on Urine ... Glitter cells in the urine ... pale staining WBCs ... occurs in hypotonic urine ... Glitter #Cells #Urine
Pathophysiology of Hemolytic Anemia
 - Defects in RBC internal contents (thalassemia, hemoglobinopathies, and metabolic defects)
 -
- Defects in RBC ... - Defects in RBC ... Defects in the RBC's
The differential diagnosis for an elevated MCHC (mean corpuscular hemoglobin concentration) includes:

Conditions with Abnormal RBCs:
 •
with Abnormal RBCs ... : • Abnormal RBC ... Xerocytosis • RBC