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diagnosis differential em im management causes nephrology evaluation workup microscopy peds primarycare urine clinical dermatology assessment ent cardiology neuro pulmonary
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
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
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 #
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
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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 Algorithm and Differential Diagnosis of Macroscopic Hematuria Important Historical Elements: - Painless: suggests malignancy - Painful: suggests calculi/infection - Urinalysis:
Algorithm and Differential ... RBC’s, RBC/WBC casts ... #Differential #Algorithm ... #Ddxof
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
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
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
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