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Mercy CLS 3: Urinalysis > Sediment Identification > Flashcards

Sediment Identification Flashcards

1
Q
A

RBCs

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2
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WBCs

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3
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WBCs

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4
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WBCs

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5
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clue cells

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6
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SECs

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7
Q
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SECs + bilirubin

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8
Q
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transitional cells

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9
Q
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transitional cells

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10
Q
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transitional cells

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11
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RTEs

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12
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RTEs

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13
Q
A

RTE

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14
Q
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RTE

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15
Q
A

RTE collecting duct

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16
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A

OFB

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17
Q
A

OFB

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18
Q
A

yeast

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19
Q
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pseudohyphae

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20
Q
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Trichomonas

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21
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parasite ovum

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22
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hyaline casts

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23
Q
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RBC casts

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24
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WBC casts

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25
Q
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WBC casts

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26
Q
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bacterial cast

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27
Q
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RTE cast

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28
Q
A

RTE casts

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29
Q
A

mixed cast

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30
Q
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granular casts

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31
Q
A

waxy cast

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32
Q
A

waxy cast

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33
Q
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fatty cast

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34
Q
A

broad casts

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35
Q
A

amorphous urates

36
Q
37
Q
38
Q
39
Q
A

acid urates

40
Q
A

sodium urates

41
Q
A

calcium oxalate (dihydrate, monohydrate)

42
Q
A

calcium oxalate
monohydrate

43
Q
A

amorphous phosphates

44
Q
A

triple phosphate

45
Q
A

triple phosphates

46
Q
A

calcium phosphate

47
Q
A

calcium carbonate

48
Q
A

ammonium biurate

49
Q
50
Q
A

cholesterol

51
Q
A

cholesterol

52
Q
53
Q
54
Q
55
Q
A

radiographic dye

56
Q
A

sulfa crystals

57
Q
A

ampicillin crystals

58
Q
A

hemosiderin

59
Q
A

hippuric acid

60
Q
61
Q
62
Q

SEC appearance

A

Thin, flat having “flagstone” appearance, distinct edges
Small, centrally located nucleus with small amount of cytoplasm (fried egg appearance)
Can also be anucleated.
Fine granulation in cytoplasm

63
Q

transitional cells appearance

A

Centrally located nucleus
Round or pear-shaped with a dense oval-to-round nucleus
Abundant cytoplasm- nucleus to cytoplasm ratio is 1:5
The peripheral borders of the nucleus and cytoplasm are distantly outlined.

64
Q

RTE appearance

A

Eccentrically placed nucleus (not easily visible in unstained sediment)
Nucleus to cytoplasm ratio 1:1
collecting duct: cuboidal, at least one straight edge

65
Q

OFB appearance

A

Highly refractile due to absorbed lipids
Positively identified using polarized microscopy
Maltese cross formation

66
Q

Trich appearance

A

Pear-shaped flagellate with undulating membrane

67
Q

cast appearance

A

Cylindrical with parallel sides, vary in length and width
Ends may be round, blunt, or broken

68
Q

amorphous urate appearance

A

Yellow-brown sand-like granules
Clumps or attached to other structures
Pink sediment (uroerythrin)

69
Q

uric acid appearance

A

Rhombic
Four-sided flat plates (whetstones)
Wedges
Rosettes
Six-sided
Yellow-brown or colorless
Highly birefringent under polarized light

70
Q

acid urates appearance

A

Larger granules
Spicules

71
Q

sodium urates appearance

A

Needle-shaped

72
Q

amorphous phosphate appearance

A

Fine, colorless sand-like granules
White sediment

73
Q

triple phosphate appearance

A

Prism, coffin lid shape
Colorless
Size varies
Feathery as they disintegrate
Birefringent under polarized light

74
Q

calcium phosphate appearance

A

Colorless, flat rectangular plates
Thin prisms often in rosette formations

Float on top of urine

75
Q

calcium carbonate appearance

A

Small and colorless granules
Dumbbell (in pairs) or spherical shapes
Clumps

76
Q

ammonium biurate appearance

A

Yellow-brown color spheres
Spicule covered spheres “Thorny-apples”

77
Q

cystine appearance

A

Colorless, hexagonal plates

78
Q

cholesterol appearance

A

Rectangular plate with a notch in one or more corners
stairs

79
Q

leucine appearance

A

Yellow-brown spheres
Concentric circles and radial striations

80
Q

tyrosine appearance

A

Fine, colorless to yellow needles
Clusters or rosettes

81
Q

bilirubin appearance

A

Clumped needles
Granules with amber color of bilirubin

82
Q

radiographic dye appearance

A

Colorless, long pointed needles
Flat, long rectangular plates

83
Q

sulfa crystals appearance

A

Needles
Rhombic
Whetstones
Sheaves of wheat
Rosettes
Colorless to yellow-brown

84
Q

ampicillin appearance

A

Colorless needles that tend to form bundles after refrigeration

85
Q

hemosiderin appearance

A

Coarse, yellow-brown “iron” granules
Prussian blue stain (blue granules)

86
Q

hippuric acid appearance

A

Yellow-brown or colorless
Elongated prisms or plates
pointed ends

87
Q

starch appearance

A

Spheres with a dimpled center
Highly refractile
maltese cross

Mercy CLS 3: Urinalysis (10 decks)

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