Atlas of Casts in urine

Atlas of Casts in urine, Fine granular casts and WBCs, Fine granular cast, WBCs, and RBCs, SM-stained granular cast, Coarse granular cast, Bilirubin-stained granular cast, Waxy cast, SM-stained waxy cast, Hyaline cast, WBCs, RBCs, and bacteria, Convoluted red blood cell cast, Red blood cell cast, White blood cell cast, SM-stained WBC cast, Bilirubin-stained casts, Mixed cell cast, Epithelial cell cast, Mixed cast, yeast, and a WBC, Broad granular cast, atlas in medical, tuyenlab.net

Hyaline cast, WBCs, RBCs, and bacteria
Figure 93Hyaline cast, WBCs, RBCs, and bacteria. Can you see the bent cast? (500x ).


Hyaline casts
Figure 94. Hyaline casts. How many casts can you find? (200x).

Hyaline cast that is bent back upon itself and many RBCs
Figure 95. Hyaline cast that is bent back upon itself and many RBCs.
Viewed with an 80A filter (400x ).

Hyaline casts and many RBCs
Figure 96. Hyaline casts and many RBCs (100x).

Hyaline casts
Figure 97. Hyaline casts. Viewed with an 80A filter (400x).

Hyaline casts using phase contrast microscopy
Figure 98. Hyaline casts using phase contrast microscopy.

Figure 99. Many hyaline casts and WBC casts and rare RBC (200x).

Hyaline, WBCs, RBCs, and epithelial cells
Figure 100. Hyaline, WBCs, RBCs, and epithelial cells (200x ).

Hyaline cast with a few granular inclusions
Figure 101. Hyaline cast with a few granular inclusions (500x ).

Convoluted red blood cell cast
Figure 102. Convoluted red blood cell cast (500x).

Red blood cell cast and many RBCs
Figure 103. Red blood cell cast and many RBCs. The cells in the cast are still intact (500x )

Figure 104. Red blood cell cast. There are still some intact cells in the cast (arrow),
although many of the cells have begun to degenerate (500x )

Red blood cell cast
Figure 105. Red blood cell cast. When the cast in the previous figure is viewed under low power, the color of the cast is more prominent (200x)

Red blood cell cast and amorphous urates
Figure 106. Red blood cell cast and amorphous urates (500x)

White blood cell cast, WBCs, squamous epithelial cells, and mucus
Figure 107. White blood cell cast, WBCs, squamous epithelial cells, and mucus (400x)

White blood cell cast
Figure 108. White blood cell cast. The protein matrix is clearly visible

SM-stained WBC cast
Figure 109. SM-stained WBC cast (400x).

White blood cell cast
Figure 110. White blood cell cast (400x)

Bilirubin-stained casts, fibers, and sediment
Figure 111. Bilirubin-stained casts, fibers, and sediment (200x)

Mixed cell cast, WBCs, and RBCs
Figure 112. Mixed cell cast, WBCs, and RBCs.
This cast contains degenerating WBCs and several RBCs (500x )

Bilirubin-stained WBC cast
Figure 113. Bilirubin-stained WBC cast. Bilirubin staining can cause problems in identifying structures, but you can see some cell outlines. In addtion, the WBCs are beginning to degenerate, creating a granular cast appearance (500x).

Many WBC casts and many WBCs
Figure 114. Many WBC casts and many WBCs (200x ).

Figure 115. SM-stained mixed cellular cast including renal tubular epithelial cells (400x )

Epithelial cell cast
Figure 116. Epithelial cell cast. The nuclei are visible in some of the cells (500x )

Mixed cast
Figure 117. Mixed cast. This cast is half hyaline and half granular.
Report as “hyaline” and/or “granular,” but not “mixed” cast (400x)

Mixed cast, yeast, and a WBC
Figure 118. Mixed cast, yeast, and a WBC. This cast is also half hyaline and half granular (500x )

Mixed cast
Figure 119. Mixed cast. Note bacteria in one half of the cast.
Bacterial casts are not very common (500x)

Many casts, WBCs, RBCs, and amorphous sediment,  all of which are stained with bilirubin
Figure 120. Many casts, WBCs, RBCs, and amorphous sediment,
all of which are stained with bilirubin (200x).

Broad mixed granular and RBC cast, and a broad granular cast
Figure 121. Broad mixed granular and RBC cast, and a broad granular cast. Higher magnification of previous figure. This specimen is from a patient with Wilson disease (500x )

Figure 122. SM-stained hyaline cast, granular cast, mixed cellular cast, and partially degenerated renal tubule epithelial cells (200 )

 Broad granular cast
Figure 123. Broad granular cast (400x)

Fine granular cast, WBCs, and RBCs
Figure 124. Fine granular cast, WBCs, and RBCs (500x )

Fine granular casts and WBCs. Note the smaller cast
Figure 125. Fine granular casts and WBCs. Note the smaller cast (500x).
Figure 126. SM-stained granular cast (200x ).

Fine granular casts and WBCs
Figure 127. Fine granular casts and WBCs (400x).

Coarse granular cast
Figure 128. Coarse granular cast (500x)

Figure 129. Coarse granular cast (400x)
Coarse granular cast, calcium phosphate plate, and amorphous phosphates
Figure 130. Coarse granular cast, calcium phosphate plate, and amorphous phosphates (200x )

Broad and narrow coarse granular casts
Figure 131. Broad and narrow coarse granular casts (200x ).

Coarse granular cast
Figure 132. Coarse granular cast (400x)

Bilirubin-stained granular cast
Figure 133. Bilirubin-stained granular cast (500x)

Figure 134. Fine granular cast (400x)

Figure 135. Fine granular cast, WBCs, and bacteria (400 ).

Waxy cast and amorphous urates
Figure 136. Waxy cast and amorphous urates.
Note the indentations on the sides of the cast (500x )

Figure 137. Bilirubin-stained waxy cast, granular cast, WBCs,
and amorphous sediment. Note the convolu- tions near the center of the waxy cast (500x )

Long waxy cast, WBCs, and an epithelial cell.
Figure 138. Long waxy cast, WBCs, and an epithelial cell.
The surface of this cast is more refractile than that of a hyaline cast (200x).

Figure 139. Fine granular cast becoming a waxy cast. This cast would best be classified
as a waxy cast, because of the typical cracks on the sides of this cast,
even though the surface is still granular (500x )

Figure  6-140.   Convoluted waxy cast. This field also contains WBCs, rare RBC, and bacteria (500   )
Figure 140. Convoluted waxy cast. This field also contains WBCs, rare RBC, and bacteria (500x)

Convoluted waxy cast
Figure 141. Convoluted waxy cast. This is the same image as the previous figure, but when the fine adjustment is turned slightly, the cast seems to develop a dark edge because of the high refractive index of the cast (500x ).

SM-stained waxy cast
Figure 142. SM-stained waxy cast (100x)

Figure 143. Same field as previous figure using phase contrast microscopy (100x)

SM-stained waxy- granular cast
Figure 144. SM-stained waxy- granular cast (200x ).
This is only a part of the book : Graff's Textbook of Urinalysis and Body Fluids Second Edition of authors: Lillian A. Mundt and Kristy Shanahan. If you want to view the full content of the book and support author. Please buy it here: https://goo.gl/Kxf9i1

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Atlas for Medical: Atlas of Casts in urine
Atlas of Casts in urine
Atlas of Casts in urine, Fine granular casts and WBCs, Fine granular cast, WBCs, and RBCs, SM-stained granular cast, Coarse granular cast, Bilirubin-stained granular cast, Waxy cast, SM-stained waxy cast, Hyaline cast, WBCs, RBCs, and bacteria, Convoluted red blood cell cast, Red blood cell cast, White blood cell cast, SM-stained WBC cast, Bilirubin-stained casts, Mixed cell cast, Epithelial cell cast, Mixed cast, yeast, and a WBC, Broad granular cast, atlas in medical, tuyenlab.net
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