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RBC Casts on Urine Microscopy

Dr. Telma Lemos @TELMALEMOS10

#RBC #Casts #Urine #Microscopy #clinical #nephrology
RBC Casts on Urine ... TELMALEMOS10 #RBC ... #Casts #Urine #
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
1ml blood/liter urine ... Hematuria: 3 or more RBC ... /HPF spun urine ... hematuria: - RBC ... - Dysmorphic RBC
Causes of Proteinuria - Differential Diagnosis Algorithm
Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... Proteinuria (Negative urine ... Proteinuria (Positive urine ... sediment - WBC/RBC ... Diagnosis #Algorithm #Causes
Urine Microscopy and Casts - Image Atlas Key

- Squamous Epithelial Casts
- Transitional Epithelial Cells
- Renal Tubular
Urine Microscopy ... and Casts - Image ... - WBC Cast - RBC ... JoseTesser) #Urine ... #Microscopy #Casts
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
WBCs, or urine ... → Urine culture ... (proteinuria, RBC ... casts, dysmorphic ... Nephrology if cause
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
glomerular hematuria (RBC ... casts or dysmorphic ... RBCs in urine)?
Causes Abnormal Urine Color - Differential Diagnosis
Turbid White Urine (Albinuria):
 • Chyluria, Filariasis, Schistosomiasis, Malignancy, Phosphaturia,
Causes Abnormal ... listed under green urine ... * Green Urine: ... : • Purple Urine ... Syndrome - UTI caused
Oval fat bodies and RBC cells- brightfield 

Dr. Telma Lemos @TELMALEMOS10

#Oval #Fat #Bodies #FatBody #clinical #urine
fat bodies and RBC ... FatBody #clinical #urine
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
Causes of Abnormal Urine Colors - Differential Diagnosis
Blue-Green - Yellow - Orange - Pink - Red
Causes of Abnormal ... Urine Colors - ... White - Purple #Urine ... differential #diagnosis #causes