13 results
Mixed Cellular Casts on Urine Microscopy

Degenerating mixed cellular cast - brightfield, unstained - from patient with
Mixed Cellular Casts ... on Urine Microscopy ... mixed cellular cast ... pneumococcal sepsis and AKI ... clinical #Urine #Microscopy
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
sensitive) • AKI ... , AKD, rapidly progressive ... sterile pyuria, WBC casts ... eosinophiluria, microscopic ... proteinuria, granular casts
Trichomonas on Urine Microscopy

Trichomonas organisms adjacent to mixed cellular cast containing WBC's, tubular epithelial cells, and
Trichomonas on Urine Microscopy ... mixed cellular cast ... from patient with AKI ... Trichomonas #Urine #Microscopy
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm
Acute Kidney Injury (AKI) - Acute increase
Kidney Injury (AKI ... Kidney Injury (AKI ... Epithelial cell casts ... Obstruction • Cast ... polyangiitis /microscopic
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
Kidney Injury (AKI ... PROBLEM ~80% of AKI ... cases are caused ... Assess UA w/ microscopy ... for WBCs, RBCs, casts
Crystal cast in patient with AKI and TLS on Urine Microscopy

Randy Luciano MD, PhD @RandyLucianoMD

#TLS #Crystal
Crystal cast in ... patient with AKI ... and TLS on Urine Microscopy ... #TLS #Crystal #casts ... crystalluria #Urine #Microscopy
Urine Microscopy Instructions - How to spin urine

1. Collect a fresh urine sample (5 – 10
Urine Microscopy ... the better, as casts ... pellet at the bottom ... the slide on the microscope ... #Urine #Microscopy
Urine Microscopy - Urinary Sediment Examination Instructions
Preparation of the urine for microscopic examination:
 • Clean catch
Urine Microscopy ... • Fill conical bottom ... gently flicking the bottom ... up by cells or casts ... protein matrix of casts
Important Fungal Stains
Mycology Lab:
 • Calcofluor white - Fluorochrome that binds glucans and chitin in fungal
• Lactophenol Cotton ... Blue - Cotton blue ... (aka analine blue ... #microbiology #microscopy
Urinalysis & Urine Sodium 
Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
Microscopic exam ... • Urinary casts ... Kidney Injury (AKI ... leucocyte-esterase #urine #UNa #casts