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20 Cards in this Set

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In regards to reading a urine sedimentation, what is viewed under low power? High power?




How are each reported?

low- casts and crystals #/lpf




high- RBC, WBC, epithelial cells as #/hpf,


sperm and bacteria as rare to ++++



Name 2 kinds of bacteria that might be seen on a urine sedimentation.




Describe appearance.




List associated conditions with the finding.

Cocci- circular, in singles, pairs or chains, refractile




Bacilli- rod-shaped, in singles, pairs or chains, refractile




UTI, cystitis, pyelonephritis, vaginitis, prostatitis

What would RBC's look like in urine sediment under the microscope?

Do RBC's always indicate disease?


small


bi-concave with smooth edges


pale disc lacking nucleus


crenated


lysed




No, they can be from sample collection method

What do WBC's look like in urine sediment under the microscope?




Are WBC's normal to see in urine?




What should always be searched for if WBC's are seen?

Round, granular, larger than RBC


No


Bacteria

Where are casts formed?

collecting tubules of kidneys

What do casts signify?

renal disease

Name 2 conditions epithelial casts are associated with.

nephrotoxicity and acute renal disease

Name an unusual condition hyaline casts are associated with.

strenuous exercise

Which cast signifies chronic renal disease?

waxy

Which 2 epithelial cells are commonly seen in urine sediments?




Which is uncommon?

squamous and transitional




renal

Where are epithelial renal cells from?


What do they indicate?

renal tubules


renal disease

Where are squamous epithelial cells from?


Are they significant?

urethra, bladder, vagina, prepuce


No

Where are transitional epithelial cells from?


What might they indicate in large clumps?

urethra, bladder, ureters


neoplasia

What is the scientific name for the bladder worm?


Which part of the body does it travel through?


Is it pathogenic?

Capillaria plica


lungs


no

List both names for this crystal

List both names for this crystal

Triple phosphate


Struvite

Name this crystal

Name this crystal

Calcium Oxalate

Name this crystal

Name this crystal

cystine

What cell resembles this?

What cell resembles this?

squamous epithelial cell

What is the likely pH of this urine?

What is the likely pH of this urine?

alkaline

Does this urine look infected to you?

Does this urine look infected to you?

YES!