Microscopic Examination Flashcards
Sediments in urine with these clinical significance:
1. renal disease
2. lower urinary tract disease
3. toxic reactions due to drugs
4. physiologic causses
RBCs
salicylates and anticoagulant therapy produces what sediments in urine
RBCs
what are the 4 rbc morphology that can be found in urine
- normal
- crenated
- ghost
- dysmorphic
RBCs with ___ cells/hpf is considered abnormal.
> 3 cells/hpf
Erythrocytes are found in ___ cells/hpf in normal urine
0-2 cells/hpf
toxic drugs such as sulfonamides, methanamine can produce what sediment in urine?
RBCs
RBC morphology where rbc is lysed and only cell membrane is left.
Ghost RBCs
RBC morphology that can be found in hyposthenuria (low specific gravity)
ghost rbcs
RBC morph where rbc shrinks, found in hypersthenuria
crenated rbcs
7 um in diameter of RBCs is considered what rbc morphology
normal duh
dysmorphic rbcs in urine is ___ in origin
glomerular
doughnut shaped rbc with 1 or more membrane blebs
G1 cell
May be more specific than dysmorphic cells for
diagnosing glomerular hematuria (Dinda, 1997)
G1 cell
what are 2/3 sources of rbc identification errors
- yeast
- oil droplets
- air bubbles
what stain or chemical is used to differentiate RBCs errors such as yeast or oil droplets, and wbc
acetic acid
sediment characteristic:
exhibit greater variation in size and are highly refractile
oil droplets and air bubbles
___ leukocytes/hpf are seen in normal urine
<5
increase in urinary WBCs (principally neutrophils)
Pyuria
Chlamydia trachomatis, staphylococci, and coliforms are causative agents
Pyuria
correlated with
- Leukocyte esterase
- Nitrite
- Specific Gravity
- pH
WBCs
what is the significance of NITRITE screening test?
Bacteria/WBCs
What is the significance of the screening test for PROTEINS?
casts/cells
significance of screening test for GLUCOSE
yeast