Chart-31

A 16 -year-old boy with complaints of fever, increased frequency of micturition and dysuria 

URINARY FINDINGS 

Volume            : 1200 ml for 24hrs

Urine protein  : 0.8 gm (24 hrs)

Microscopy       : 200-300 pus cells/hpf

                          Pus cell casts seen

A. Interpret the above findings and give your diagnosis.

A 16 -year-old boy having fever, increased frequency of micturition and dysuria with normal urinary volume, mild proteinuria, numerous pus cells and pus cell casts.

Diagnosis: Acute pyelonephritis

B. What are the different types of casts?

1. Hyaline casts

2. Fatty casts

3. Granular casts

4. Cellular casts - Pus cell casts, Red cell casts, Epithelial cell casts

Waxy casts