M2: Microscopic Examination (Part 2: Sediment Examination Techniques) Flashcards
SEDIMENT EXAMINATION TECHNIQUES: URINE SEDIMENT STAINS
Consists of Crystal violet and Safranin O
Sternheimer Malbin Stain
SEDIMENT EXAMINATION TECHNIQUES: URINE SEDIMENT STAINS
Action: Delineates structure and contrasting colors of the
nucleus and cytoplasm
Sternheimer Malbin Stain
SEDIMENT EXAMINATION TECHNIQUES: URINE SEDIMENT STAINS
Function: Provides a more detailed visualization of the
internal structure of WBCs, epithelial cells and casts
Sternheimer Malbin Stain
SEDIMENT EXAMINATION TECHNIQUES: URINE SEDIMENT STAINS
RBC color result for in neutral, acidic, and alkaline urine?
Sternheimer Malbin Stain
neutral: pink to purple
acid: pink
alkaline: purple
SEDIMENT EXAMINATION TECHNIQUES: URINE SEDIMENT STAINS
WBC nuclei and cytoplasm color result
Sternheimer Malbin Stain
nuclei: purple
cytoplasm: purple granules
SEDIMENT EXAMINATION TECHNIQUES: URINE SEDIMENT STAINS
Squamous nucleus and cytoplasm color result
Sternheimer Malbin Stain
Nucleus: orange-purple
Cytoplasm: light purple or blue
SEDIMENT EXAMINATION TECHNIQUES: URINE SEDIMENT STAINS
Bacteria color result for motile and non-motile
Sternheimer Malbin Stain
motile: unstained
non-motile: purple
SEDIMENT EXAMINATION TECHNIQUES: URINE SEDIMENT STAINS
Action: Enhances nuclear detail
Function: Differentiates WBCs and renal tubular epithelial
(RTE) cells
0.5% Toluidine Blue
SEDIMENT EXAMINATION TECHNIQUES: URINE SEDIMENT STAINS
Action: Lyses RBCs and enhances nuclei of WBCs
Function: Distinguishes RBCs from WBCs, yeast, oil
droplets, and crystals
2% acetic acid
SEDIMENT EXAMINATION TECHNIQUES: URINE SEDIMENT STAINS
Enhances nuclear detail/nuclei
a. Sternheimer Malbin Stain
b. 0.5% Toluidine Blue
c. 2% acetic acid
d. a and c
e. b and c
f. ALL
g. NOTA
e. b and c
SEDIMENT EXAMINATION TECHNIQUES: URINE SEDIMENT STAINS
Action: Stain triglycerides and neutral fats orange-red (Do
not stain cholesterol)
Function: Identify free fat droplets and lipid-containing cells and casts
Lipid stains: Sudan III or Oil Red O
SEDIMENT EXAMINATION TECHNIQUES: URINE SEDIMENT STAINS
T or F
To confirm presence of lipids triglycerides, neutral fats, and cholesterol) from other sediments such as free fat droplets and lipid-containing cells and casts in the urinary sediment, staining is only used
Lipid stains: Sudan III or Oil Red O
F (staining and polarization)
SEDIMENT EXAMINATION TECHNIQUES: URINE SEDIMENT STAINS
T or F
Sudan III or Oil Red O stains cholesterol
Lipid stains: Sudan III or Oil Red O
F (does not)
SEDIMENT EXAMINATION TECHNIQUES: URINE SEDIMENT STAINS
Action: Stains structures containing iron
Function: Identifies yellow-brown granules of hemosiderin in cells and casts.
Prussian Blue
SEDIMENT EXAMINATION TECHNIQUES: URINE SEDIMENT STAINS
Prussian Blue result for presence of homosiderin
Prussian Blue
Blue
SEDIMENT EXAMINATION TECHNIQUES: URINE SEDIMENT STAINS
Action: Methylene blue and eosin Y stains eosinophilic granules
Function: Identifies urinary eosinophils
Hansel Stain
SEDIMENT EXAMINATION TECHNIQUES: URINE SEDIMENT STAINS
Action: Differentiates gram-positive and gram-negative
bacteria
Function: Identifies bacterial casts
Gram stain
SEDIMENT EXAMINATION TECHNIQUES: URINE SEDIMENT STAINS
To perform gram staining, what specimen is required?
dried, heat-fixed preparation of
the urine sediment
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- the preparation of permanent slides using cytocentrifugation followed by staining with Papanicolaou stain
- provides an additional method for
detecting and monitoring renal disease.
Cytodiagnostic urine testing
CYTODIAGNOSTIC URINE TESTING
what stain is used after cytocentrifugation?
Papanicolaou stain
Frequently performed independently of routine urinalysis for detection of malignancies of the lower urinary tract.
Cytodiagnostic urine testing
Provides more definitive information about renal tubular
changes associated with
* transplant rejection
* viral, fungal, parasitic infections
* cellular inclusions
* pathologic casts
* inflammatory condition
Cytodiagnostic urine testing
What specimen is recommended for testing, which is performed by the cytology laboratory
voided first morning specimen