Microscopic Flashcards
SOURCES OF FORMED ELEMENTS
● Blood
● Kidneys
● Lower genitourinary tract
● External Contamination
COMPONENTS OF FORMED ELEMENTS
COMPONENTS
● Red Blood Cells
● White Blood Cells
● Epithelial Cells
● Casts
● Bacteria
● Yeast
● Parasites
● Mucus
● Spermatozoa
● Urine Crystals
● Urine Artifacts
significance of the color test in macroscopic urine screening?
bloof
Screening test used to hematuria versus hemoglobinuria and confirm pathologic or non pathologic cause of turbidity
clarity
what is indicated by the presence of blood in urine screening?
Presence of RBCs or RBC casts.
What does protein in urine screening correlate with microscopically?
Presence of casts or cells.
What does a positive nitrite test suggest in urine screening?
Presence of bacteria or WBCs.
What is the significance of leukocyte esterase in urine screening?
Indicates the presence of WBCs, WBC casts, or bacteria.
What does the presence of glucose in urine indicate microscopically?
yeast
To ensure accuracy, specimens should be examined at what state?
Fresh or adequately preserved
What disintegrates quickly in dilute alkaline urine?
RBCs, WBCs, Hyaline casts
What effect does refrigeration have on urine specimens?
Precipitates amorphous urates and phosphates
How can you dissolve some crystals before centrifugation?
Warm to 37°C
What can random dilute specimens lead to?
False-negative results
What should be done before decanting into a centrifuge tube?
Thoroughly mix the specimen
Standard volume
10-15 mL of urine
Volume used to easily immersed the multiparameter reagent strip and is used to calibrate capped centrifugation tubes
12 mL volume
What should be noted if a 12 mL specimen is not obtainable?
Actual volume used should be noted on report
Recommended centrifugation
5 minutes at 400 RCF
What measurement is used to correct for differences in centrifuge heads?
RCF (Relative Centrifugal Force) rather than RPM
How can RPM be converted to RCF?
RCF = 1.118 × 10^-5 × radius (cm) × RPM²
How often should calibration be performed?
Routinely performed
What is the post-decantation volume for sediment preparation?
0.5-1 mL
What does the sediment concentration factor relate to?
Detecting elements in low quantities