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Medicine General ae69ddfd

In hematuria of glomerular origin the urine is characterized by the presence of all of the following except:

A
Red cell casts
B
Acanthocytes
C
Crenated red cells
D
Dysmorphic red cells
High-Yield Explanation
Answer is B (Acanthocytes): Acanthocytes are erythrocytes characterized by multiple spiny cytoplasmic protections (spur cells). These are seen as a consequence of abnormal lipid metabolism such us in severe liver disease and are not a feature of glomerular (renal disease). Haematuria with dysmorphic RBC 's cast are a characteristic feature of glomeulonephritis. (crenated RBC are a type of dysmorphic RBC's).

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