actea1
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is it C?
Attached Files:
41.jpg (67 KB, 85 downloads)
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| darkhorse
Forum Elite
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Absolutely....this is a fatty cast...CCCC should be the answer
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| actea1
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thanks!
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| cricket9014
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why aren't those rbc casts?
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| cricket9014
Forum Newbie
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why aren't those rbc casts?
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| darkhorse
Forum Elite
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http://www.hdcn.com/img0011.jpg
have a look in this picture of a fatty cast...does it look similar
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| cricket9014
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"Clinical features
1. Most common cause of nephroticsyndrome in children
ii. Peak incidence: ages 2-6 years
iii. Diagnosis of exclusion" this text is from Kaplan Pathology...so I think is highly unlikely for a 21year old person to have MCD.Plus the diagnosis is one of exclusion, that is why I wouldn't take into account an urinary cast for that diagnosis, at list not when it looks very much alike a red blood cast.http://courses.washington.edu/hubio562/urinaly/rf11.html
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| darkhorse
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any pathologist here....can u shed some light on this plz???
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| SmokyWaters
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people...its easy...
look at the cast first...can you see CELLS???? if you can see cells then its most probably a CELLULAR cast...
cellular casts include
RBC
WBC
epithelial cells
RBC casts are redish brown, yellowish brown...there is always somethin brown with them 
this is a case of POST STREPTOCOCCAL glomerulonephritis...
waxy casts dont have cellular element...
try googling the casts images and learn them ...
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| SmokyWaters
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MCD wud be the most unlikely cause though 
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| cricket9014
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I agree with you, S W!It is also my opinion...I got confused by their choice
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| dbplayboy
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Yep, those are most definitely red blood cell casts. They would have shown you the "maltese crosses" if they were fatty casts.
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| dr ruman
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this for sure "d"as its rbc cast ,its from goljan
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