Chart of Urinary Sediment Crystals and Cells

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23 Terms

1
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What type of crystals are found in normal urine at any pH?

Calcium Oxalate Crystals.

<p>Calcium Oxalate Crystals.</p>
2
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What are the characteristics of Calcium Oxalate Dihydrate Crystals?

Colorless, vary in size, observed under Brightfield at 40x.

<p>Colorless, vary in size, observed under Brightfield at 40x.</p>
3
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What are the characteristics of Calcium Oxalate Monohydrate Crystals?

Colorless, vary in size, observed under Brightfield at 40x.

<p>Colorless, vary in size, observed under Brightfield at 40x.</p>
4
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What forms can Uric Acid Crystals take?

Flat diamond, rhombic, rosette, and barrel forms.

5
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What is the appearance of Uric Acid Crystals under Brightfield microscopy?

Color varies with thickness and they are birefringent.

6
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What type of crystals are associated with alkaline pH in urine?

Triple Phosphate Crystals.

<p>Triple Phosphate Crystals.</p>
7
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What is the structure of Triple Phosphate Crystals?

3 to 6 sided prisms, can be very large, colorless.

<p>3 to 6 sided prisms, can be very large, colorless.</p>
8
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What are the characteristics of Amorphous Urate Crystals?

Granular appearance, colorless to yellow-brown, observed under Brightfield at 40x.

<p>Granular appearance, colorless to yellow-brown, observed under Brightfield at 40x.</p>
9
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What are the characteristics of Cholesterol Crystals?

Notched corners, found in acid pH, observed under Brightfield at 40x.

<p>Notched corners, found in acid pH, observed under Brightfield at 40x.</p>
10
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What do Leucine Crystals look like?

Spheres with concentric circles or striae, yellow to colorless, observed under Brightfield at 40x.

<p>Spheres with concentric circles or striae, yellow to colorless, observed under Brightfield at 40x.</p>
11
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What is the appearance of Bilirubin Crystals?

Fine needles in clusters, dark yellow-brown, observed under Brightfield at 40x.

<p>Fine needles in clusters, dark yellow-brown, observed under Brightfield at 40x.</p>
12
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What are the characteristics of Cystine Crystals?

Hexagonal plates, yellow to colorless, observed under Brightfield at 40x.

<p>Hexagonal plates, yellow to colorless, observed under Brightfield at 40x.</p>
13
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What type of crystals are Iatrogenic Crystals?

Radiographic contrast media, Ampicillin crystals, and Sulfa crystals.

<p>Radiographic contrast media, Ampicillin crystals, and Sulfa crystals.</p>
14
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What is the appearance of Red Blood Cells (RBCs) in urine?

Smooth, biconcave discs, 7mm diameter, observed under Brightfield at 40x.

<p>Smooth, biconcave discs, 7mm diameter, observed under Brightfield at 40x.</p>
15
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What are the characteristics of White Blood Cells (WBCs) in urine?

Granulated, multi-lobed nuclei, 12mm diameter, observed under Brightfield at 40x.

<p>Granulated, multi-lobed nuclei, 12mm diameter, observed under Brightfield at 40x.</p>
16
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What are the characteristics of Bacteria in urine?

May be rods or cocci, present with WBCs in UTI, observed under Brightfield at 40x.

<p>May be rods or cocci, present with WBCs in UTI, observed under Brightfield at 40x.</p>
17
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What do Budding Yeast look like under microscopy?

Small, oval, refractile, observed under Brightfield at 40x.

<p>Small, oval, refractile, observed under Brightfield at 40x.</p>
18
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What are the characteristics of Trichomonas vaginalis?

Motile with 4 'flitting' flagella, varying shapes, observed under Brightfield at 40x.

<p>Motile with 4 'flitting' flagella, varying shapes, observed under Brightfield at 40x.</p>
19
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What types of Epithelial Cells can be found in urine?

Squamous, Transitional, Renal tubular, Oval fat body.

<p>Squamous, Transitional, Renal tubular, Oval fat body.</p>
20
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What is the appearance of a Red Blood Cell Cast?

Whole RBC inclusions, colorless, observed under Brightfield at 10x.

<p>Whole RBC inclusions, colorless, observed under Brightfield at 10x.</p>
21
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What are the characteristics of a Hyaline Cast?

Homogenous matrix with round ends, colorless, observed under Brightfield at 10x.

<p>Homogenous matrix with round ends, colorless, observed under Brightfield at 10x.</p>
22
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What do Granular Casts look like?

Grainy inclusions, observed under Brightfield at 10x.

23
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What types of artifacts can be found in urine sediment?

Fiber, air bubbles, starch crystals, glass fragments, cotton fibers.