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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 ... Urine #Microscopy #clinical
Pathologic Red Blood Cell (RBC) Morphologies and Associated Diseases

Acanthocyte (spur cell),  
Basophilic stippling, 
Bite cell,
Red Blood Cell (RBC ... cell, Other RBC ... Howell-Jolly bodies #RBC ... Pathology #Hematology #Diagnosis
Red Blood Cell (RBC) Morphology
Microcytic RBC: Pyridoxine deficiency, Thalassemia, Iron deficiency anemia, Chronic disease anemia (sometimes),
Red Blood Cell (RBC ... Morphology Microcytic RBC ... Bite Cell RBC: G6PD ... Red #BloodCell #RBC ... #differential #diagnosis
Hemolytic Anemias - Differential Diagnosis Algorithm

Signs of anemia and hemolysis:
 • ↓ Haptoglobin
 • ↑ LDH
- Differential Diagnosis ... • Extrinsic RBC ... • Intrinsic RBC ... #Differential #Diagnosis
Overall Approach to Anemia - Differential Diagnosis Algorithm

Blood Loss
 • Acute Bleed - Normocytic / Normochromic
- Differential Diagnosis ... RBCs Decreased RBC ... Thalassemia • RBC ... Disorder • RBC ... #Differential #Diagnosis
Causes of False Elevation and Reduction in HbA1c

== False Elevation ==
Decreased RBC turnover 
• Iron, B-12,
== Decreased RBC ... Glucose Content • RBC ... Reduction == Increase RBC ... Dilutional Effect • RBC ... Increase #Decrease #Diagnosis
Right Heart Catheterization Waveforms and Pressures
Right Atrial Pressure:
 • Mean: 1-5 mm Hg
Right Ventricular Pressure:
 •
Catheterization #RHC ... normal #wedge #diagnosis
Right Heart Cath - Normal Cardiac Pressures

Right Atrial Pressure (RAP) or Central Venous Pressure (CVP)
 •
Cardiac #Pressures #RHC ... #cardiology #diagnosis
Interpreting Right Heart Catheterizations

Always interpret a RHC based on the indication for getting the test. This
Always interpret a RHC ... Catheterization #RHC ... #diagnosis #pulmonary
The differential diagnosis for an elevated MCHC (mean corpuscular hemoglobin concentration) includes:

Conditions with Abnormal RBCs:
 •
The differential diagnosis ... : • Abnormal RBC ... Xerocytosis • RBC ... #Differential #Diagnosis