CASTS (Cylindruria)

Question 1

formed in the DCT and collecting

Answer 1

Casts

Question 2

seen primarily in coverslip edges

Answer 2

Casts

Question 3

Casts Reporting:

Answer 3

NUMBER PER LPF

Question 4

Casts Major constituent:

*same as mucus threads

Answer 4

UROMODULIN produced by the RTE CELLS

Question 5

Presence of helps in doctor’s diagnosis

Answer 5

Casts

Question 6

size of cast is dependent on the [?] to where it is formed

Answer 6

tubule

Question 7

Order of Cast Degeneration

Answer 7

1. Hyaline
2. Cellular
3. Coarsely granular
4. Finely granular
5. Waxy

Question 8

• most frequently seen

Answer 8

Hyaline

Question 9

• no sediments attached or contained

Answer 9

Hyaline

Question 10

Hyaline NV

Answer 10

0 to 2 per LPF

Question 11

Physiologic: stress, exercise, dehydration, heat exposure, emotional stress

Answer 11

Hyaline

Question 12

Pathologic: Acute glomerulonephritis, Pyelonephritis, Chronic Renal Disease, Chronis Heart Failure

Answer 12

Hyaline

Question 13

• bleeding within the nephron

Answer 13

RBC cast

Question 14

Glomerulonephritis, (associated with protenuria and dysmorphic RBCs)

Answer 14

RBC cast

Question 15

RBC cast Reporting:

Answer 15

Number per LPF

Question 16

: inflammation or inflamation of the kidneys

Answer 16

Pyelonephritis

Question 17

: inflammation or inflamation of the glomerulus (w/ RBC casts and WBC casts)

Answer 17

Glomerulonephritis

Question 18

*toxicity

Answer 18

Renal Tubular Epithelial Cell Cast

Question 19

*viral infection

Answer 19

Renal Tubular Epithelial Cell Cast

Question 20

*allograft rejection

Answer 20

Renal Tubular Epithelial Cell Cast

Question 21

*Pyelonephritis (with WBC casts)

Answer 21

Renal Tubular Epithelial Cell Cast

Question 22

*resembles granular casts

Answer 22

Bacterial cast

Question 23

Pyelonephritis ([?] containing bacilli both within and bound to the protein matrix)

Answer 23

Bacterial cast

Question 24

*Streneous exercise

Answer 24

Granular cast

Question 25

*Toxic tubular necrosis

Answer 25

Fatty cast

Question 26

*Diabetis mellitus

Answer 26

Fatty cast

Question 27

*Crush injuries

Answer 27

Fatty cast

Question 28

*dark pink under supravital stains

Answer 28

Waxy cast

Question 29

Stasis of urine flow (extreme)

Answer 29

Waxy cast

Question 30

Aka RENAL FAILURE CASTS

Answer 30

Broad cast

Question 31

* All types of casts may occur in the [?] form

Answer 31

broad

Question 32

*Most common Broad cast:

Answer 32

Waxy and Granular Casts

Question 33

*Bile-stained broad, waxy casts are seen as the result of the tubular necrosis cause by viral hepatitis

Answer 33

Broad cast