GU: stones and casts Flashcards
Acidic urine stones?
Xanthine
cystine
uric acid
calcium oxalate
tyrosine
leucine
alkaline urine stones ?
calcium phosphate
calcium carbonate
magnesium phosphate
ammonium urate
Uric acid stone description?
colorless to yellow/brown flat square
Calcium oxalate stone description?
octahedral
Cystine stone description?
hexagon
Tyrosine stone description?
sheaves of thin needles
Leucine stone description?
spheres with radial striations usually seen with tyrosine
Uric acid stone clinical implication?
gout
Calcium oxalate stone clinical implication?
calcium nephrolithiasis
Cystine stone clinical implication?
inborn error of amino acid metabolism
Tyrosine stone clinical implication?
liver disease
Leucine stone clinical implication?
liver disease
Calcium carbonate stone description?
dumbbell shaped
Calcium phosphate stone description?
rosettes
Ammonium Urate stone description?
thorny apple
Calcium carbonate stone clinical implication?
calcium stones
Calcium phosphate stone clinical implication?
urinary stasis
chronic UTI
Ammonium Urate stone clinical implication?
non-pathogenic benign
Types of Renal Casts?
hyaline rbc wbc epithelial granular waxy fatty broad
Hyaline cast description?
colorless, clear
RBC cast description?
red cells in hyaline matrix
WBC cast description?
neutrophils in hyaline matrix
Epithelial cast description?
renal tubular epithelial cells in hyaline matrix
Granular cast description?
opaque granules
Waxy cast description?
absence of structures
appears broken off
Fatty cast description?
fat globules
Broad cast description?
Large in diameter
Hyaline cast clinical implication?
made of mucoprotein
diabetic nephropathy
CRF
RBC cast clinical implication?
damage to glomerulus GNP SLE nephritis HTN Renal inflammations
WBC cast clinical implication?
infection
inflammation
pyelonephritis
Epithelial cast clinical implication?
tubular necrosis
Granular cast clinical implication?
degenerative cells inside
transplant rejections
Pyelo if WBCs
GNP if RBCs
Waxy cast clinical implication?
renal insufficiency
renal failure
Fatty cast clinical implication?
nephrotic syndrome
diabetic nephropathy
Broad cast clinical implication?
obstruction
dilated tubules
renal insufficiency