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Waxy casts are broad casts, which is a more general term to describe the wider cast product of a dilated duct, and are seen in chronic kidney failure. In nephrotic syndrome, many additional types of casts exist, including broad and waxy casts if the condition is chronic (this is referred to as a telescopic urine with the presence of many casts ...
Casts are typically removed by perforation using a cast saw, an oscillating saw designed to cut rigid material such as plaster or fiberglass while not harming soft tissue. [7] Manually operated shears, patented in 1950 by Neil McKay , [ 8 ] may be used on pediatric or other patients who may be affected by the noise of the saw.
Examples of urinary casts: a) RTE cell cast, b) "muddy" granular cast, c) white blood cell cast, d) red blood cell cast [112] Urinary casts are cylindrical structures composed of Tamm-Horsfall glycoprotein. Their shape derives from the renal tubules where they are formed, and the protein base can incorporate cells or other material. Hyaline ...
Acute tubular necrosis is classified as a "renal" (i.e. not pre-renal or post-renal) cause of acute kidney injury. Diagnosis is made by a FENa (fractional excretion of sodium) > 3% and presence of muddy casts (a type of granular cast) in urinalysis.
Renal tubular epithelial cell casts (a) and “Muddy” brown granular casts (b) suggest acute tubular injury/necrosis (ATN) as the etiology of AKI. White blood cell casts are generally seen in acute interstitial nephritis or acute pyelonephritis (c). Red cell cast denotes glomerular disease as in glomerulonephritis or small vessel vasculitis (d)"
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Fiberglass casts were introduced in the 1980s or 1990s. The curing time of a fiberglass cast is far shorter than plaster of Paris, letting the patient walk with an outer boot within an hour of application. Because casts made of fiberglass have lower breakdown rate and do not impede patient mobility, this material has become the choice for TCC.
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