8.3 Crystals in Alkaline Urine Flashcards

1
Q

Description:
- Milky white macroscopically
- Same microscopic appearance with urates that is granular but differs in macroscopic

Solubility:
- Dilute Acetic acid

Significance:
- Precipitate following ref making the urine appear milky white macroscopic and granular microscopic

a. Amorphous phosphate
b. Calcium phosphate
c. Triple phosphate
d. Ammonium biurate
e. Calcium carbonate

A

a

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2
Q

Description:
- Colorless, flat plates needles or prisms often in rosette formation
- Same appearance with calcium sulfate except that it can also be plates in addition to needles and rosettes or prisms that form rosettes

Solubility:
- Dilute Acetic acid

Significance:
- Common component of renal calculi
- Same with calcium oxalate

a. Amorphous phosphate
b. Calcium phosphate
c. Triple phosphate
d. Ammonium biurate
e. Calcium carbonate

A

b

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3
Q

Description:
- prism shape resembling coffin lids birefringent
- “Coffin lid crystals”
- Relationship of Triple phosphate and ammonium biurate

Solubility:
- Dilute Acetic acid

Significance:
- UTI caused by urease-producing bacteria
- renal calculi

a. Amorphous phosphate
b. Calcium phosphate
c. Triple phosphate
d. Ammonium biurate
e. Calcium carbonate

A

c

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4
Q

Description:
- Yellow brown spicule covered spheres or “thorny apples”

Solubility:
- Acetic acid and heat

Significance:
- UTI caused by urease-producing bacteria
- renal calculi

a. Amorphous phosphate
b. Calcium phosphate
c. Triple phosphate
d. Ammonium biurate
e. Calcium carbonate

A

d

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5
Q

Description:
- Small spherical that is mistaken for amorphous phosphate which forms clumps colorless dumbells or spherical may form clumps

Solubility:
- Dilute Acetic acid with GAS PRODUCTION

Significance: NONE

a. Amorphous phosphate
b. Calcium phosphate
c. Triple phosphate
d. Ammonium biurate
e. Calcium carbonate

A

e

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