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

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

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

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

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

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

Figure 98. Hyaline casts using phase contrast microscopy.

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

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

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

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

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 )

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)

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

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

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

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

Figure 110. White blood cell cast (400x)

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

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

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).

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

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

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

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

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

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

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

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 )

Figure 123. Broad granular cast (400x)

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

Figure 125. Fine granular casts and WBCs. Note the smaller cast (500x).

Figure 126. SM-stained granular cast (200x ).

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

Figure 128. Coarse granular cast (500x)

Figure 129. Coarse granular cast (400x)

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

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

Figure 132. Coarse granular cast (400x)

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

Figure 134. Fine granular cast (400x)

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

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 )

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

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 ).

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

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

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