CAST

Jef Marc Valencia · 73問 · 2年前

通報

問題一覧

Refers to the increase amount of crystals in urine

CYLINDRURIA

The only body fluid which contains cast

URINE

Refractivity index of Urine casts

LOW

Urinary sediment unique to the kidneys

CAST

Cast are primarily formed in the

DISTAL CONVOLUTED TUBULE, COLLECTING DUCT

Cast are seen primarily in what part of the slide w/ subdued light

COVERSLIP EDGE

Manner of reporting of casts

NUMERICAL RANGE/10 LOW POWER FIELD

The major constituent of casts produced by the Renal Tubular Epithelial cell

UROMODULIN, TAMM HORSFALL PROTEIN

This are irregular or tapered shape casts

CYLINDROID

Enumerate factors enhancing cast formation

ACIDIC PH, INCREASED SOLUTE CONCENTRATION, URINE STASIS, INCREASED PLASMA PROTEIN

Protein particularly contributes to the formation of casts

ALBUMIN

Width od the cast is dependent on the size of the___ where it is formed

TUBULE

Order of cast degeneration (in order manner)

HYALINE, CELLULAR, GRANULAR, WAXY

Importance of Cast

STATUS OF RENAL TUBULE

Most frequently seen cast formed by interweaving of protein fibrils into a mesh-like pattern.

HYALINE

Cast formed due to the possible attachment of urinary sediments to the matrix

CELLULAR CAST

Cast that is remain in Renal Tubular Epithelial Cell for a long period of time

GRANULAR CAST

Cast of final stage of degeneration

WAXY CAST

What is the normal value of Hyaline cast

0-2/LPF

Hyaline cast are mainly composed of what protein

UROMODULIN, TAMM HORSFALL PROTEIN

Enumerate physiologic clinical significance of Hyaline cast

STRENOUS EXCERCISE, DEHYDRATION, HEAT EXPOSURE, EMOTIONAL STRESS

Enumerate pathologic clinical significance of Hyaline cast

ACUTE GLOMERULONEPHRITIS, PYELONEPHRITIS, CHRONIC RENAL DISEASE, CONGESTIVE HEART FAILURE

Microscope used to view Hyaline cast

PHASE CONTRAST

Stain used for Hyaline cast

STERNHEIMER MALBIN

Refractivity index of Hyaline cast

LOW

Brittle, highly refractile w/ jagged edges that is degenerative form of all cast

WAXY CAST

Stain and color of waxy cast

STERNHEIMER MALBIN, DARK PINK

Microscope preferred for viewing waxy cast

BRIGHTFIELD

What is the appearance of waxy cast in microscope

GROUND GLASS

Significance of Waxy cast

SEVERE KIDNEY DISEASE, RENAL TRANSPLANT REJECTION

+ chemical examination of waxy cast

PROTEIN, BLOOD

What could be the color imparted in RBC cast due to the released of hemoglobin

MUDDY BROWN

Stain used for RBC cast; what color could be imparted

STERNHEIMER MALBIN, LAVENDER IN PINK MATRIX

Cast that may represent bleeding in the nephron

RBC CAST

RBC cast that could represent Glomerulonephritis are associated w/

PROTEINURIA, DYSMORPHIC RBC

Clinical significance of RBC cast

TUBULAR INJURY, BLEEDING NEPHRON, GLOMERULAR BLEEDING AND DAMAGE

RBC cast manner of reporting

NUMBER/LPF

+ chemical examination of RBC cast

PROTEIN, BLOOD

Cast that can be seen during infection or inflammation within the nephron

WBC CAST

+ chemical examination of WBC cast

BLOOD, NITRITE, LE

Term refering to upper UTI

PYELONEPHRITIS

Aside from the Infection or inflammation of the nephron, what are the other conditions where WBC Cast alone can be seen

PYELONEPHRITIS, INTERSTITIAL NEPHRITIS

Condition where both RBC and WBC cast can be seen

GLOMERULONEPHRITIS

Cast that could represent advanced tubular destruction

RENAL TUBULAR EPITHELIAL CELL CAST

Enumerate conditions where RTE cell cast alone can be seen

TOXICITY, VIRAL INFECTION, ALLOGRAFT REJECTION

Normal Value for RTE cast

>2 RTE/HPF

Condition where RTE,WBC, and BACTERIAL cast can be seen

PYELONEPHRITIS

Refractivity index of RTE cast

HIGH

+ chemical examination of RTE cast

BLOOD, NITRITE, LE, PROTEIN

Casts containing multiple cell types

MIXED CELLULAR CAST

Which of these conditions where bacterial cast could be present

UPPER UTI

This casts resembles granular casts

BACTERIAL CAST

A condition where bacterial casts containing bacilli both within and bound to the protein matrix

PYELONEPHRITIS

Microscope preferred for Bacterial casts

BRIGHTFIELD

+ chemical examination of Bacterial cast

BLOOD, NITRITE, LE

Stain used for identification of bacterial casts

GRAM STAIN

Granules are derived from the lysosomes of RTE cells during normal metabolism

GRANULAR CAST

Clinical Significance of Granular Cast

GLOMERULONEPHRITIS, PYELONEPHRITIS, STRESS, STRENOUS EXERCISE

Refractivity index of Granular cast

HIGH

Microscope used for the identification of Granular cast

BRIGHTFIELD

+ chemical examination of Granular cast

BLOOD, LE, PROTEIN

Cast that can be present in nephrotic syndrome or lipiduria

FATTY CAST

Fatty cast stain and microscope used

LIPID STAIN, POLARIZING

+ chemical examination of Fatty cast

LE, PROTEIN, GLUCOSE

Clinical significance of Fatty cast

TOXIC TUBULAR NECROSIS, DIABETES MELLITUS, CRUSH INJURY

Broad cast are also known as___ which is also a indicative of this condition.

RENAL FAILURE CAST

Most c'mon broad cast

WAXY, GRANULAR

This indicates widening of the tubular walls

RENAL FAILURE CAST, BROAD CAST

Seen as the result of the tubular necrosis caused by viral hepatitis

BILE STAINED BROAD, WAXY

Hyaline matrix w/ coloration due to pigmentation incorporation

PIGMENTED CAST

What color of the pIgmented casts incorporated w/ bilirubin

GOLDEN BROWN

What color of the pIgmented casts incorporated w/ hemoglobin or myoglobin

YELLOW-RED BROWN

Hemoglobin pigmented cast are caused by

HEMOLYTIC ANEMIA

Myoglobin pigmented cast are caused by

RHABDOMYOLYSIS

Crystal cast are occasionally seen in

URATE, CALCIUM OXALATE, SULFONAMIDE

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