Abstract
Clinical urinary assessment should include a microscopic review of urine sediment for cast morphology. Casts are generally a marker of tubular injury and serve to represent the presence of a variety of disease processes. The presence of casts can also inform the healthcare provider about disease states and allow for monitoring in certain renal conditions.
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References
Graff L. A handbook of routine urinalysis. Philadelphia: Lippincott; 1983. xix, 284p.
Perazella MA. The urine sediment as a biomarker of kidney disease. Am J Kidney Dis. 2015;66(5):748–55.
Cavanaugh C, Perazella MA. Urine sediment examination in the diagnosis and management of kidney disease: core curriculum 2019. Am J Kidney Dis. 2019;73(2):258–72.
Bakerman S. Bakerman’s ABC’s of interpretive laboratory data. Scottsdale: Interpretive Laboratory Data, Inc; 2002.
Muriithi AK, Nasr SH, Leung N. Utility of urine eosinophils in the diagnosis of acute interstitial nephritis. Clin J Am Soc Nephrol. 2013;8(11):1857–62.
Perazella MA. Clinical approach to diagnosing acute and chronic tubulointerstitial disease. Adv Chronic Kidney Dis. 2017;24(2):57–63.
Perazella MA, Coca SG, Kanbay M, Brewster UC, Parikh CR. Diagnostic value of urine microscopy for differential diagnosis of acute kidney injury in hospitalized patients. Clin J Am Soc Nephrol. 2008;3(6):1615–9.
Chawla LS, Dommu A, Berger A, Shih S, Patel SS. Urinary sediment cast scoring index for acute kidney injury: a pilot study. Nephron Clin Pract. 2008;110(3):c145–50.
Hebert LA, Dillon JJ, Middendorf DF, Lewis EJ, Peter JB. Relationship between appearance of urinary red blood cell/white blood cell casts and the onset of renal relapse in systemic lupus erythematosus. Am J Kidney Dis. 1995;26(3):432–8.
Verdesca S, Brambilla C, Garigali G, Croci MD, Messa P, Fogazzi GB. How a skillful (correction of skilful) and motivated urinary sediment examination can save the kidneys. Nephrol Dial Transplant. 2007;22(6):1778–81.
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Houston, S.J., Sanders, M.L., Harshman, L.A. (2020). Urine Microscopy: The Utility of Urinary Casts in Patient Care – Practical and Useful Tips for Busy Clinicians. In: Sharp, V., Antes, L., Sanders, M., Lockwood, G. (eds) Urine Tests. Springer, Cham. https://doi.org/10.1007/978-3-030-29138-9_10
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DOI: https://doi.org/10.1007/978-3-030-29138-9_10
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