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18 Cards in this Set

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  • Back
During the microscopic exam, almost all constituents must not only be identified, but they also be?

enumerated. either per lph or hpf
How are most sediments are examined?

bright - field microscopy

bright field method is acceptable most of the time, but many of the components of the sediment have a refractive index close to that of the urine and are difficult to view without?

phase - contrast microscopy
Labs purchase QC materials that not only check the reactions of the dipsticks, but also?

can be centrifuged and commonly seen urinary sediments observed
"Normal" amounts of commonly encountered sediment include


0 - 2 rbcs/hpf


0 - 5 wbcs/hpf


0 - 2 hyaline casts/lpf


What are some reasons that RBCs appear in urine?


1. breakdown of the glomeruli allowing RBCs into the ultrafiltrate


2. bleeding within the genitourinary tract


menstrual contamination



What color is RBCs and how big are they in diamters?


colorless




6 - 8 microns


Cells may appear crenated in what kind of urine?
concentrated urine
In dilute urine, the cells may do what?

swell & rupture releasing the hemo - globin

What are the empty cellular membranes called?
Ghost cells
What is Pyuria refer to?
Presence of white cells in urine
An increase of WBCs can indicate

UTI

What is often observed in UTIs?

WBC clumps & bacteria

What size are WBCs?

12 microns in diameter
Dilute alkaline urine can produce what are known as?


Glitter Cells


the glitter is due to Brownian movement of the granules within the cells


What are the three types of epithelial cells that are found in urine?


1. squamous epithelial cells (pavement cells)


2. clue cells


3. transitional epithelial cells


Squamous epithelial Cells


line the vagina and the urethra


these cells have an irregular outline and a centrally located nucleus that is approximately the same size as an rbc