Casts in Urine Flashcards
RBC casts
Glomerulonephritis
Ischemia
Malignant hypertension
WBC casts
Tubulointerstitial inflammation
Acute pyelonephritis
Transplant rejection
Fatty casts (“oval fat bodies”)
Nephrotic syndrome
Granular (“muddy brown”) casts
Acute tubular necrosis
Waxy casts
Advanced renal disease/chronic renal failure
Hyaline casts
Nonspecific
Can be a normal finding, often in concentrated urine samples
Hematuria/pyuria + casts
Origin?
Renal origin
Hematuria + NO casts
Origin?
Bladder cancer
Kidney stones
Pyuria + NO casts
Origin?
Acute cystitis
Nephritic syndrome
RBC casts
Nephrotic syndrome
Fatty casts
Pyelonephritis (acute)
WBC casts
Pyelonephritis (chronic)
Waxy casts
Advanced renal disease or chronic renal failure
Waxy casts
Acute tubular necrosis
Granular “muddy brown” casts