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Interpretation of Casts Hyaline
Not indicative of renal disease; Concentrated urine; Fever; Exercise RBC – Glomerular bleeding (glomerulonephritis) = active sediment Leukocyte – Pyelonephritis; Interstitial nephritis Pigmented (or heme) granular – ATN; Proliferative glomerulonephritis (GN) Fatty casts/oval fat bodies – Nephrotic syndrome.
Hyaline Cast
Hyaline Cast
Broad Granular Cast
Pigmented (or Heme) Granular Casts and Debris
Acute tubular necrosis (ATN).
Pigmented (or Heme) Granular Casts
Acute tubular necrosis or proliferative glomerulonephritis.
[“common warts”]
Multiple hyperkeratotic, elevated, discrete epithelial growths with papillated surface.
[“ringworm”]
Pruritic, scaly, round/oval plaque with central clearing on the clavicle. (Courtesy of Dr. L. From)
Single, erythematous, painless round chancre on penis.
Commonly affecting palms and soles with oval, flat-topped scaling, non-pruritic red-brown papules or plaques.
