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diagnosis casts differential clinical urinary alkalosis atlas chloride hypernatremia hyponatremia hypotonic interpretation key mbgc metabolic muddy muddybrown physiologic sediment table
Granular & “Muddy Brown” Casts on Urine Microscopy A. Finely granular cast B. slightly coarser granular cast
Brown” Casts on ... Urine Microscopy ... appreciated at low ... #Casts #Urine # ... #Nephrology #Sediment
Muddy Brown Granular Casts three ways - Brightfield, Darkfield, Phase Contrast. Dr. Vipin Varghese @vipvargh #Muddy #Brown #Granular
Muddy Brown Granular ... #Granular #Casts ... #clinical #urine ... #microscopy #MBGC ... #nephrology
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
and concentrated urine ... Granular - May ... "Muddy-brown" heme-granular ... #Differential #Microscopy ... #Diagnosis #Nephrology
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
Atlas of Urine Microscopy ... also be seen if urine ... renal disease • Granular ... disease • “Muddy brown ... key #diagnosis #nephrology
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... • "Muddy Brown ... ) • Granular Casts ... #Urine #Microscopy ... #nephrology #interpretation
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Causes of Hypernatremia ... water loss, Serum Sodium ... mannitol, glucosuria Low ... Hypernatremia #Nephrology ... #Causes
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Urinary Chloride Algorithm ... alkalosis • Normal/low ... the indicated causes ... sodium is typically ... #Algorithm #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... Urine Na+K / serum ... can be high or low ... #nephrology
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