AUBF Urinary Crystals Flashcards
Crystals commonly seen in acidic urine
Uric acid
Amorphous urates
Calcium oxalate (Neutal)
Normally seen in alkaline urine
Calcium oxalate (any pH)
Calcium phosphate
Triple phosphate (Ammonium magnesium phosphate)
Ammonium biurate
Calcium carbonate
Appearance: Rhombic, Four-sided flat plates (whetstones), wedges, rosettes
Uric acid
Uric acid distinguishing feature from cystine crystals
Highly birefringent
Pink sediment when refrigerated (Ca, Mg, Na, K)
Amorphous urates
Uric acid is Significantly increased in
Gout, Lesch-Nyhan Syndrome
Crystal: colorless to yellow brown granules
Amorphous urates
Macroscopic: orange-pink precipitate (brick-dust)
Amorphous urates
Amorphous urates can be convert uric acid with
concentrated HCl
Most common calcium oxalate
dihydrate - colorless, octahedral envelope, or as two pyramids joined at their base
Oval or dumbbell shaped crystal
seen in ethylene glycol “antifreeze” poisoning
Calcium oxalate: monohydrate
Majority of renal calculi is composed of
Calcium oxalate
Colorless rectangular shape, present in rosette forms
Calcium phosphate
Confused with sulfunamide crystals
Calcium phosphate
Appearance: Coffin-lid shape, Prism shape
TRIPLE PHOSPHATE (AMMONIUM MAGNESIUM PHOSPHATE)