AUBF 2 - Urinary Sediment Flashcards

1
Q

Smooth, non-nucleated, biconcave - 7mm

A

RBC cell

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2
Q

Hypersthenuric; RBC

A

Crenated

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3
Q

Hyposthennuric RBC

A

Ghost cell
Cell membrane is left

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4
Q

When there is a GLOMERULAR BLEEDING, RBC APPEARS?

A

Dysmorphic (cell protrusion, fragmented)

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5
Q

Normal RBC cell value

A

0-2/ 10 hpf

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6
Q

Clinical significance of RBC Cell

A

Damage in glomerular membrane
Vascular injury in genitourinary tract

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7
Q

Macroscopic hematuria appears

A

Red-brown urine
Cloudy

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8
Q

Microscopic hematuria appears

A

Normal color urine w/ microscopic RBC

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9
Q

Clinical significance of Macroscopic Hematuria

A

Advanced damage of glomerular membrane
And damage in vascular integrity of UT

Due to TRAUMA, ACUTE INFECTION, INFLAMMATION AND COAGULATION DISORDERS

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10
Q

Clinical significance of Microscopic Hematuria

A

Early diagnosis of glomerular disorder, malignancy and presence of renal calculi

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11
Q

Predominant WBC in WBC cell

A

Neutrophils

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12
Q

WBC that resembles RBCS

A

Lymphocyte

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13
Q

Eosinophil appears in

A

Drug-induced interstitial nephritis
Renal transplant rejection
UTI

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14
Q

Vacuolated WBC

A

Monocyte, macrophage, histiocytes

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15
Q

Neutrophils under Hypotonic solution will

A

Bloat/swell

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16
Q

Swelled Neutrophils is called as

A

Glitter cells

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17
Q

Pyuria

A

Increased WBC; infection and inflammation of genitourinary tract

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18
Q

Clinical significance: lymphocyte

A

Early renal transplant rejection

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19
Q

Differences of mononuclear cell and disentragrated neutrophil from round RTE cells

A

RTE is LARGER THAN WBC

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20
Q

What is being added to determine the differences of RTE FROM WBC

A

Supravital stain
Acetic acid

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21
Q

Three types of epithelial cells

A

Squamous
Transitional
Renal tubular

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22
Q

Normal, sloughing off epithelial cells

A

Squamous

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23
Q

Transitional epithelial cells are found in

A

RCUB
Renal pelvis
Calyces
Ureters
Bladders
Upper portion of male urethra

24
Q

Different shape of Transitional

A

Spherical, polyhedral, caudate

25
Q

Different shape of transitional is due to

A

Ability to absorb large amount of water

26
Q

Transitional is increased

A

Non pathogenic, urological procedure

27
Q

Increased abnormal morphology of Transitional

A

Viral infection, malignancy

28
Q

Clinical significance of RTE

A

Tissue destruction/necrosis

29
Q

There are how many Renal fragments

A

Three

  • PCT
  • DCT
    -CD
30
Q

PCT

A

Larger
Rectangular (columnar/convulated)
Resembles a cast

31
Q

DCT

A

Smaller, oval/round
Resembles WBC/spherical TEC

32
Q

CD

A

Cuboidal
Never round

33
Q

Lipid containing RTE

A

Oval fat bodies

34
Q

RTE w/o lipid

A

Bubble cell

35
Q

Squamous EC; Associated with Bacterial Vaginosis

A

Clue cells

36
Q

Bacteria associated with Clue cells

A

Gardnerella coccobacillus

37
Q

Bacteria is normal encountered in urine?

A

No

38
Q

Most frequently associated with UTI

A

Enterobacteriacae

39
Q

Significant UTI should be with

A

WBC

40
Q

Budding yeast appears like

A

RBC

41
Q

Primary yeast usually encountered

A

Candida albicans

42
Q

Patient with candida albicans is usually with

A

DM
Vaginal Monoliasis
Immunocompromised

43
Q

Yeast identication method

A

Addition of KOH

44
Q

Parasite usually encountered in urine

A

Trichomonas vaginalis

45
Q

Trichomonas vaginalis appears like

A

WBC (once it lose its motility)

46
Q

Bladder parasite

A

Schistosoma haematobium

47
Q

Common parasite contaminant

A

Enterobius vermicularis

48
Q

Major constituent of Mucus

A

Uromodulin

49
Q

Structure of Mucus

A

Thread-like structure; low refreatice index

50
Q

Structure made unique from kidney

A

Cast

51
Q

Condition where cast is present in urine

A

Cylinduria

52
Q

True geometrically structure

A

Crystals

53
Q

High refractive spherical and dimple shaped artifacts

A

Starch

54
Q

Spheres with cell wall, concentric circle

A

Pollen grains

55
Q

Pollen grains appears like

A

Taenia eggs

56
Q

Fiber/hair resembles

A

Cast

57
Q

Difference of hair/fiber from cast

A

Fiber polarized, Cast do not