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diagnosis management differential causes treatment clinical nephrology cardiology hematology ddxof workup gastroenterology pulmonary peds neurology pediatrics evaluation radiology em criticalcare
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
Algorithmic Approach ... sterile pyuria, WBC casts ... tubular proteinuria, granular ... casts/RTE; blend ... Nephritis #AIN #Algorithm
Granular & “Muddy Brown” Casts on Urine Microscopy A. Finely granular cast B. slightly coarser granular cast
Granular & “Muddy ... Finely granular ... coarser granular ... muddy brown (mb) granular ... #Granular #MuddyBrown
Urine Microscopy and Casts - Image Atlas Key - Squamous Epithelial Casts - Transitional Epithelial Cells - Renal Tubular
Microscopy and Casts ... Dysmorphic RBCs - Granular ... Casts - WBC Cast ... - RBC Cast - ... Cast - RTEC Cast
Examples of varying granular and granular/waxy mixed casts: A: coarse granular/broad-waxy (and surrounding white blood cells);
Examples of varying granular ... and granular/waxy ... mixed casts: ... A: coarse granular ... #Casts #Urine #
Waxy and granular casts - brightfield urine microscopy Dr. Telma Lemos @TELMALEMOS10 #Waxy #granular #casts #Urine #Microscopy #clinical
Waxy and granular ... casts - brightfield ... TELMALEMOS10 #Waxy #granular ... #casts #Urine #
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 Muddy Brown Granular Casts three ways - Brightfield, Darkfield, Phase Contrast. Dr. Vipin Varghese @vipvargh #Muddy #Brown #Granular
Muddy Brown Granular ... Casts three ways ... #Muddy #Brown #Granular ... #Casts #clinical
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy - Casts ... Acellular Casts ... • Hyaline Casts ... "Muddy Brown" Casts ... ) • Granular Casts
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
Urinary Casts and ... concentrated urine Granular ... breakdown of cellular casts ... Muddy-brown" heme-granular ... casts are seen
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
microscopy • Red cell casts ... • White cell casts ... renal disease • Granular ... casts - More significant ... • “Muddy brown cast
Seborrheic keratosis - Well-circumscribed, stuck-on appearance - Waxy texture - Verrucous surface
have crumbly, granular ... scale - Horn cysts
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