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Doctor insights on: Granular Casts

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Dr. Raj Singh
234 doctors shared insights

Cast (Definition)

Children's bones will usually heal and remodel themselves, if they are kept in the correct position. Immobilization casts are one effective way to do this, while also protecting ...Read more


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WBC 8 RBC 114 Casts 2 Epithelial cells 41 Is this normal???

WBC 8 RBC 114 Casts 2 Epithelial cells 41 Is this normal???

Repeat it?: Squamous epithelial cells mean this is not pure urine. Chances are that the specimen was contaminated by vaginal secretions, perhaps while you were having your period. ...Read more

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What does dense subepithelial lymphocytic infiltrate with small lymphocytes and scattered plasma cells mean?

What does dense subepithelial lymphocytic infiltrate with small lymphocytes and scattered plasma cells mean?

Inflammation: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, There is no cancer. There is chronic inflammation in the skin and the cause is not apparent from the information you provided. It would be useful for you and your doctor to talk to the pathologist who wrote the report. ...Read more

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Please interpret pericardium tissue mononuclear infiltrates with rare polymorphnuclear leukocytes & eosinophiles. Hemosiderin-laden macrophages.

Please interpret pericardium tissue 
 mononuclear infiltrates with rare polymorphnuclear leukocytes & eosinophiles.  Hemosiderin-laden macrophages.

Not tumor: This is the site of an old bleed and probably infection or physical injury. The key is that there's not tumor found. Any interpretation beyond this without a history would be meaningless. ...Read more

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What mean that urine albumin trace pus cells 12-15 epith.cells+++ crystals amorphous bacteria present?

What mean that urine albumin trace pus cells 12-15 epith.cells+++ crystals amorphous bacteria present?

Urinalysis: Trace albumin means little or nothing. The presence of trace pus cells is probably from a poorly collected specimen contaminated by vaginal secretions, as suggested by the epithelial cells. The amorphous bacteria is also a result of contamination. To be effective in helping diagnosing UTI this should be an assisted clean midstream urine specimen. ...Read more

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What's wrong? UA that are off . Renal epithelial cells, mucus, amorphous calcium exalate, leukocytes estarase, squamous epithelial, WBCS, bacteria.

What's wrong?  UA  that are off . Renal epithelial cells, mucus, amorphous calcium exalate, leukocytes estarase, squamous epithelial, WBCS, bacteria.

UTI: Hi VictoriaP. Sorry you are having a concern. It appears you have a urinary tract infection. I would also be concerned to know if you had any kidney stones recently. Drink lots of water and stay hydrated and please see someone in person. ...Read more

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Urine test : protein (1+) , trace of blood, few bacteria, hyaline cast/lpf (0-1), mucus rare. RBC/hpf 3-4, WBC/hpf 4-6, should I be worried?

Urine test : protein (1+) , trace of blood, few bacteria, hyaline cast/lpf (0-1), mucus rare. RBC/hpf 3-4, WBC/hpf 4-6, should I be worried?

No: Even if this is not a contaminated sample, if you have no symptoms you are close enough to the reference range to consider yourself healthy. ...Read more

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What is meant by abundant benign appearing epithelial cells hemosiderin-laden macrophages and colloid present. Also scattered micro follicles noted?

What is meant by abundant benign appearing epithelial cells hemosiderin-laden macrophages and colloid present. Also scattered micro follicles noted?

It's good news: Sounds like you had a biopsy. I'm guessing thyroid. Epithelial cells, colloid, micro follicles all belong there and confirm an adequate sample was taken. No cancer cells are reported (good news!) hemosiderin laden macrophages can mean local bleeding, inflammation, or (rarely) that you store too much iron. Please ask your doctor about whether you should have your iron storage levels checked. ...Read more

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Urine WBC Esterase 2+ Protein Trace Occult Blood 3+ WBC>30 RBC11-30 Epithelial Cells non renal>10 mucus pres Bacteria few.Have MGUS,Lymphs always high?

Urine WBC Esterase 2+ Protein Trace Occult Blood 3+ WBC>30 RBC11-30 Epithelial Cells non renal>10 mucus pres Bacteria few.Have MGUS,Lymphs always high?

R/O UTI: If you have symptoms I would recommend empiric treatment with macrobid pending urine culture and sensitivity . Given underlying MGUS and weakened immune system. Follow up with your doctor for exam and lab testing. Also renal ultrasound/urology consult with cystoscopy may be needed. Increase fluids especially cranberry juice and coconut water ...Read more

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Pls explain..pus cells-8-10/hpf RBC-1-3 mucus thread-plenty amorphous urates-few?

Pls explain..pus cells-8-10/hpf  RBC-1-3  mucus thread-plenty  amorphous urates-few?

See answer: The number of WBCs considered normal is typically 2-5 WBCs/hpf or less. A high number of WBCs indicates infection, inflammation, or vaginal/skin contamination. Normal number of RBCs 1-3/hpf. Both amorphous urates and mucus threads are not uncommon findings and usually by themselves have no clinical significance. Overall, a fairly unremarkable U/A with mildly elevated WBCs. Urine culture to r/o UTI ...Read more

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Urinalysis showed few bacteria, mucus threads, epithelial cells > 10, wbc 6-10, occult blood 2+, trace ketones. What does this mean?

Urinalysis showed few bacteria, mucus threads, epithelial cells > 10, wbc 6-10, occult blood 2+, trace ketones. What does this mean?

No problem but..: all ok except blood in urine unless you are on menses, should have repeat in 2-4 weeks , could be kidney stones or uti , especially if symptoms of burning on urination . unless symptoms no problem to have some bacteria ...Read more

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My urine has large urine amorphous sediment, small urine calcium oxalate crystals, small bacteria, small mucus , trace protein and sp grav 1.030?

My urine has large urine amorphous sediment, small urine calcium oxalate crystals, small bacteria, small mucus , trace protein and sp grav 1.030?

Sounds normal: All these are common and normal. Your urine is quite concentrated, probably due to limited fluid intake before it was collected; this probably explains the trace protein, which is the only thing mentioned that might be considered slightly abnormal. Discuss with your doctor, but I see no cause for worry. ...Read more

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Got my labs back today and my findings are somewhat abnormal and was wondering if there's a reason to be alarmed. here are the reults Epithelial cells-many Bacteria-2+ mucus 2+ urine wbc 10-20 urine rbc 5-10 Amorph sediment 2+ Granular casts occasional cr

Got my labs back today and my findings are somewhat abnormal and was wondering if there's a reason to be alarmed. here are the reults
Epithelial cells-many
Bacteria-2+
mucus 2+
urine wbc 10-20
urine rbc 5-10
Amorph sediment 2+
Granular casts occasional
cr

Repeat urinalysis?: The epithelial cells, mixed bacteria, and mucus alls suggest the urine was contamined with vulvar or vaginal secretions, probably not a "clean catch" midstream specimen. However, the WBC and casts could be significant. Discuss with your doctor; s/he may request a repeat test. ...Read more

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When is a cast required?

When is a cast required?

For immobilization.: Orthopedic casts or splints are used to immobilize a bone or a joint in place until healing has occurred. They are frequently made of bandages impregnated with plaster. Long arm/leg, short arm/leg, thumb spica, finger spica are examples of extremity casts. Shoulder spica, hip spica casts involve large joints. An edf cast is used for infantile idiopathic scoliosis. ...Read more

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Can I find a waterproof cast?

Yes you can: Ask your orthopedic surgeon they have it , it may cost more than the regular cast. ...Read more

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For what could you get a air cast?

Sprain or strain: An air cast is often used as a compression splint after a sprain or strain. ...Read more

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What can I use to remove my cast at home?

You really shouldn't: It should be removed by the doctor who put it on! ...Read more

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What color is full cast noble metal crown?

Silver & Gold: It can be yellow gold or white gold depending on the desire of the patient and/or the dentist. ...Read more

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Are there exercises I can do with my cast on?

Are there exercises I can do with my cast on?

Ask your treating MD: Not all casts are the same, and not all injuries for which casting is indicated are the same. You can usually exercise your uninjured limbs that are not casted safely once cleared by your treating physician. Check with your physician to make sure this is the case for your particular situation. ...Read more

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Urin analysis presence of casts what it means?

Urin analysis presence of casts what it means?

Kidney disease: With the exception of hyaline casts, urinary casts represent kidney disease. Please consult your doctor for proper evaluation, as all lab results need to interpreted in the clinical context. ...Read more

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How dangerous is it to scratch under the cast?

How dangerous is it to scratch under the cast?

See below: It depends on way the cast was applied. Was there surgery and is there an incision or open wound. Be careful of what you scratch with since you don't want to tear the skin. Make sure it is long enough so you don't lose it in the cast. ...Read more

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What kind of other injuries besides fx need casts?

What kind of other injuries besides fx need casts?

Requiring a cast: Casts are use to immobilize bones and joints. In this way, injuries to bones and the muscles that move them can be treated by keeping them motionless and allowing the bones to heal and any associated inflammatory reactions to resolve. Therefore, we use casts to immobilize broken bones and put to rest tendon and ligament injuries (requiring surgery or not). ...Read more

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Will I be able to ask to have my cast off in 2 weeks?

You can ask: But the physician is likely to want to ensure that there will be no significant risks if it is removed. ...Read more

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What can I do if my cast feels loose, is that normal?

Sometimes: Sometimes a cast will get loose as the swelling goes down or muscle atrophy occurs. Best to ask your doctor. ...Read more

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I got my cast off and it feels weird, so should I tell someone?

Yes: It may depend on how long the cast was on. Sometimes a pins and needle feeling will occur. But it is always a good thing to check with your doctor. ...Read more

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Should a backslab cast be placed on wet and go hard similar to POP?

Yes: If the backslab is made out of plaster of paris like it usually is. Sometimes an acrylic cast will be done but also this one is wet and then hardens somewhat. If you are unsure worth consulting a doctor or the clinic where this was put on. ...Read more

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Should a broken humorous beput in a cast or will it heal in a sling?

Should a broken  humorous  beput in a cast or will it heal in a sling?

Let Doctor decide: There is absolutely no way to answer your question without seeing the x-ray. Many fractures of the humerus require surgery and even pinning to get it back into the right place to heal properly. Please let your in person physician guide you in this. ...Read more