Granular casts in urine are?: (A) Regarded as normal, (B) Hyaline casts embedded with RBC, (C) Made up of mucoprotein substances, (D) Formed in the DCT
Answer is B. On microscopic examination of urine, presence of granular cast ,RBC ,bacteria glucose, albumin, ketone bodies is abnormal granular cast are the hyaline casts embedded with RBC or WBC or these are degenerate glomerular cells or tubular epithelial cells in large number Their presence indicates renal destruction of glomerular tubular cells. Ref: page no 575 Textbook of physiology Volume 1 AK Jain 7th edition