13 results
Waxy Casts on Urine Microscopy

Dr. Telma Lemos @TELMALEMOS10

#Waxy #Casts #Urine #Microscopy #clinical #nephrology
Waxy Casts on Urine ... Microscopy Dr ... TELMALEMOS10 #Waxy ... #Casts #Urine # ... #nephrology
Waxy and granular casts - brightfield urine microscopy

Dr. Telma Lemos @TELMALEMOS10

#Waxy #granular #casts #Urine #Microscopy #clinical
casts - brightfield ... urine microscopy ... #granular #casts ... #Urine #Microscopy ... #clinical #nephrology
Granular & “Muddy Brown” Casts on Urine Microscopy
A. Finely granular cast B. slightly coarser granular cast
“Muddy Brown” Casts ... on Urine Microscopy ... accompanied by a waxy ... #Urine #Microscopy ... #Clinical #Nephrology
Atlas of Urine Microscopy Findings
 • Epithelial cells - Normal
 • Renal tubular cells - Acute
Atlas of Urine Microscopy ... • Red cell casts ... • White cell casts ... key #diagnosis #nephrology ... #casts
Examples of varying granular and granular/waxy mixed casts: 
A: coarse granular/broad-waxy (and surrounding white blood cells);
mixed casts: ... granular/broad-waxy ... surrounding white blood ... Granular #MuddyBrown #Casts ... #Urine #Microscopy
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
• 1ml blood/liter ... hematuria: - RBC casts ... microscopic and ... #urology #nephrology ... blood
Urine Microscopy - Casts
Acellular Casts
 • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... - Casts Acellular ... necrosis (ATN) • Waxy ... #Urine #Microscopy ... #nephrology #interpretation
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
Urinary Casts and ... and concentrated urine ... breakdown of cellular casts ... heme-granular casts ... 34t5DgJ #Urinary #Casts
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
• Evidence of glomerular ... proteinuria, RBC casts ... → Refer to Nephrology ... if cause not identified ... Workup #urology #blood
Causes of Hematuria - Differential Diagnosis Algorithm
Red blood cells on urine microscopy. Must exclude false positives
Causes of Hematuria ... Algorithm Red blood ... cells on urine ... microscopy. ... RBCs and/or RBC casts