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The page below is a sample from the LabCE course The Urine Microscopic: Microscopic Analysis of Urine Sediment. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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Table: Clinical Significance of Casts

The table below summarizes the different type of casts and their clinical significance.

  • 0-2/LPF is normal; increase in fever, diuretic therapy, exercise or stress.
  • Glomerulonephritis
  • Pyelonephritis
  • Chronic renal disease
White Blood Cell
  • Renal infection
  • Inflammation of the nephron
Red Blood Cell
  • Bleeding in the nephron
  • Glomerulonephritis
  • Strenuous exercise
Renal tubular epithelial (RTE) Cell
  • Renal tubular damage
  • May be seen occasionally in normal urine
  • Urinary stasis
  • Glomerular and tubular disease
  • Amyloid disease
  • Chronic renal disease
  • Degenerative tubular disease
  • Extreme stasis of urine flow
  • Renal failure