Urine sediment analysis chapter 30

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Last updated 10:19 PM on 7/13/26
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16 Terms

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Erythrocytes (RBCs)

  • small and round

  • presence indicates bleeding somewhere in the urinary tract but 2-3 per hpf is normal

<ul><li><p>small and round</p></li><li><p>presence indicates bleeding somewhere in the urinary tract but 2-3 per hpf is normal</p></li></ul><p></p>
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Leukocytes (WBCs)

  • larger than RBCs

  • dull gray-greenish yellow

  • pyuria - excessive WBCs in urine

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Squamous epithelial cells

  • distal urethra, vagina, vulva, or prepuce

  • not significant

  • flat, thin

<ul><li><p>distal urethra, vagina, vulva, or prepuce</p></li><li><p>not significant </p></li><li><p>flat, thin </p></li></ul><p></p>
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Transitional epithelial cells

  • bladders, ureters, renal pelvis, and proximal urethra

  • round but occasionally pear shaped, smaller than squamous

  • small granular nucleus

<ul><li><p>bladders, ureters, renal pelvis, and proximal urethra </p></li><li><p>round but occasionally pear shaped, smaller than squamous </p></li><li><p>small granular nucleus</p></li></ul><p></p>
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Hyaline cast

  • Clear and colorless

  • composed of mostly protein

  • cylinder shaped with rounded ends

<ul><li><p>Clear and colorless</p></li><li><p>composed of mostly protein</p></li><li><p>cylinder shaped with rounded ends </p></li></ul><p></p>
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Granular casts

  • hyaline cast with granules

  • acute nephritis

<ul><li><p>hyaline cast with granules </p></li><li><p>acute nephritis </p></li></ul><p></p>
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Epithelial cast

  • epithelial cells from renal tubules embedded in hyaline matrix

<ul><li><p>epithelial cells from renal tubules embedded in hyaline matrix</p></li></ul><p></p>
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Waxy casts

  • wider with square ends, dull waxy appearance

<ul><li><p>wider with square ends, dull waxy appearance </p></li></ul><p></p>
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Struvite / triple phosphate

  • Found in alkaline to slightly acidic urine

  • 8 sided prism with tapered ends, looks rectangular kinda like a coffin lid

<ul><li><p>Found in alkaline to slightly acidic urine</p></li><li><p>8 sided prism with tapered ends, looks rectangular kinda like a coffin lid</p></li></ul><p></p>
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Calcium oxalate

  • dihydrate looks like envelope with X on it. Acidic to neutral urine

  • Monohydrate is bad looks like a dumbbell or pointed at each end, indicates ethylene glycol poisoning

<ul><li><p>dihydrate looks like envelope with X on it. Acidic to neutral urine</p></li></ul><p></p><ul><li><p>Monohydrate is bad looks like a dumbbell or pointed at each end, indicates ethylene glycol poisoning </p></li></ul><p></p>
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Uric acid

  • diamond or rhomboid most common shape

  • yellow or yellow-brown

  • not common except in dalmatians

<ul><li><p>diamond or rhomboid most common shape</p></li><li><p>yellow or yellow-brown</p></li><li><p>not common except in dalmatians </p></li></ul><p></p>
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Amorphous crystaline material

  • common in alkaline urine

<ul><li><p>common in alkaline urine</p></li></ul><p></p>
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Calcium carbonate

  • round with lines radiating from center or large granular masses or dumbbell shaped

  • Common in rabbits and horses

<ul><li><p>round with lines radiating from center or large granular masses or dumbbell shaped</p></li><li><p>Common in rabbits and horses</p></li></ul><p></p>
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Cystine

  • flat, colorless, 6 sided

<ul><li><p>flat, colorless, 6 sided</p></li></ul><p></p>
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parasites that can be in the urinary tract

  • bladder worn (pearsonema plica

  • Giant kidney worm of dog (dioctophyme renale)

  • Dirofliaria immitis (heartworms)