Clls 218 Urine Microscopic Examination.

Front 1

red blood cells

Back 1

Smooth, no nucleus, have outside ring,

normal range: 0-5

Front 2

white blood cells (including “Glitter” cells)

Back 2

Granular, round, contains a nucleus, normal range: 0-5

Bigger than RBCs

Front 3

squamousepithelial cells

Back 3

irregular cytoplasm, contains a nucleus

Large cell size (largest of Epi) Normal to see in urine.

bigger than WBCs/RBCs

Front 4

mucus

Back 4

look in book pg 121

Front 5

starch (artifacts)

Back 5

Front 6

transitional epi

Back 6

spherical, bigger central nucleus,

normal range 0-5

bigger than WBCs/RBCs

Front 7

renal tubular epi

Back 7

large, rectangular, coarsely granulated cells, could be granulated/irregular, or could be smaller/round/oval

has a nucleus eccentric (not centered)

normal range: 0-3

bigger than WBCs/RBCs

Front 8

oval fat bodies

Back 8

Never normal; use polarization microscope (to confirm or fat stain)

Front 9

bacteria

Back 9

Not normally present

Front 10

yeast

Back 10

yeast infection, diabetic patients; look for budding

Front 11

mucus

Back 11

Front 12

crenated RBCs

Back 12

has the dots

Front 13

RBCs

Back 13

Front 14

WBCs

Back 14

Front 15

squamous epi

Back 15

Front 16

transitional epi

Back 16

Front 17

caudate transitional epi

Back 17

Front 18

renal tubular epi

Back 18

Front 19

bacteria

Back 19

Front 20

compare WBCs/RBCs/RTE cells

Back 20

? look up pictures

Front 21

yeast compared with RBCs

Back 21

?

Front 22

yeast

Back 22

smaller than RBCs

Front 23

Trichomonas vaginalis

Back 23

easy to see when they are motile; have a flagella at the end

Front 24

Trichomonas vaginalis

Back 24

Front 25

Enterobius vermicularis (pinworm)

Back 25

oval with flattened side

Front 26

Schistosoma haematobium

Back 26

large/oval with pointed end

Front 27

sperm

Back 27

Front 28

fiber (artifacts)

Back 28

Front 29

plant fiber (artifacts)

Back 29

Front 30

air bubbles(artifacts)

Back 30

Front 31

hyaline cast

Back 31

Low refractive index, normal range: 0-3; better to see under phase microscope

Front 32

granular cast

Back 32

Front 33

waxy cast

Back 33

always clinically significant;

blunt edges with cracks

Front 34

hyaline cast

Back 34

Front 35

RBC's cast

Back 35

should still see free RBCs

Front 36

RBC's cast

Back 36

Front 37

WBCs cast

Back 37

Front 38

WBCs cast

Back 38

Front 39

renal tubular epi cast

Back 39

Front 40

renal tubular epi cast

Back 40

Front 41

fatty cast

Back 41

freefat globules, oval fat bodies

Front 42

MixedCasts (report as cellular cast)

Back 42

Front 43

broad cast

Back 43

2x as wide of a normal cast; usually waxy or granular

Front 44

AmorphousUrates crystals (phosphates look the same)

Back 44

Front 45

UricAcid crystals

Back 45

Front 46

CalciumOxalate (dihydrate) crystals

Back 46

envelope

Front 47

Calcium Oxalate (monohydrate) crystals

Back 47

dumbbells (could be shaped like an oval)

Front 48

TriplePhosphate (ammonium magnesium phosphate) crystals

Back 48

prisms/ coffin lids

Front 49

AmmoniumBiurate crystal

Back 49

thorny apples

Front 50

Cystine abnormal crystal

Back 50

Hexagonalplates that may be layered

Front 51

Cholesterol abnormal crystal (radiographic dye look similar)

Back 51

•Rectangularplates w/ notches on edges

Front 52

Tyrosineabnormal crystal

Back 52

•Fine,colorless-yellow needles

Front 53

Leucineabnormal crystal

Back 53

looks like a tree cut in half

Front 54

Bilirubin abnormal crystal

Back 54

•Yellowneedles or granules

Front 55

Sulfonamide abnormal crystal

Back 55

•Needles,rhomboids, sheaves of wheat, rosettes

Front 56

Ampicillinabnormal crystal

Back 56

•Colorlessneedles