Casts in Urine

RBC casts

Glomerulonephritis, hypertensive emergency

WBC casts

tubulointerstitial inflammation, acute pyelonephritis, transplant rejection

Fatty Casts ("oval fat bodies" and "Maltese Cross")

Nephrotic syndrome

Granular casts
("muddy brown")

acute tubular necrosis

Waxy casts

End-stage renal disease/chronic kidney disease

Hyaline Casts

nonspecific

hematuria, no casts

bladder cancer, kidney stones

pyuria, no casts

Acute cystitis