Sediment Identification Flashcards

(87 cards)

1
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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
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SECs + bilirubin

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8
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transitional cells

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9
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transitional cells

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10
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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
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RTE

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14
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RTE

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15
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RTE collecting duct

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16
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OFB

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17
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OFB

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18
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yeast

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19
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pseudohyphae

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20
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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
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RBC casts

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24
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WBC casts

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25
WBC casts
26
bacterial cast
27
RTE cast
28
RTE casts
29
mixed cast
30
granular casts
31
waxy cast
32
waxy cast
33
fatty cast
34
broad casts
35
amorphous urates
36
uric acid
37
uric acid
38
uric acid
39
acid urates
40
sodium urates
41
calcium oxalate (dihydrate, monohydrate)
42
calcium oxalate monohydrate
43
amorphous phosphates
44
triple phosphate
45
triple phosphates
46
calcium phosphate
47
calcium carbonate
48
ammonium biurate
49
cystine
50
cholesterol
51
cholesterol
52
leucine
53
tyrosine
54
bilirubin
55
radiographic dye
56
sulfa crystals
57
ampicillin crystals
58
hemosiderin
59
hippuric acid
60
starch
61
pollen
62
SEC appearance
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
transitional cells appearance
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
RTE appearance
**Eccentrically** placed nucleus (not easily visible in unstained sediment) Nucleus to cytoplasm ratio **1:1** collecting duct: **cuboidal**, at least one straight edge
65
OFB appearance
Highly refractile due to absorbed lipids Positively identified using polarized microscopy **Maltese cross** formation
66
Trich appearance
Pear-shaped flagellate with undulating membrane
67
cast appearance
Cylindrical with parallel sides, vary in length and width Ends may be round, blunt, or broken
68
amorphous urate appearance
Yellow-brown sand-like granules Clumps or attached to other structures Pink sediment (uroerythrin)
69
uric acid appearance
Rhombic Four-sided flat plates (**whetstones**) Wedges Rosettes Six-sided Yellow-brown or colorless Highly birefringent under polarized light
70
acid urates appearance
Larger granules **Spicules**
71
sodium urates appearance
**Needle**-shaped
72
amorphous phosphate appearance
Fine, colorless sand-like granules White sediment
73
triple phosphate appearance
Prism, **coffin** lid shape Colorless Size varies **Feathery** as they disintegrate Birefringent under polarized light
74
calcium phosphate appearance
Colorless, flat rectangular plates Thin prisms often in rosette formations Float on top of urine
75
calcium carbonate appearance
Small and colorless granules Dumbbell (in pairs) or spherical shapes Clumps
76
ammonium biurate appearance
Yellow-brown color spheres Spicule covered spheres **“Thorny-apples”**
77
cystine appearance
Colorless, hexagonal plates
78
cholesterol appearance
Rectangular plate with a notch in one or more corners **stairs**
79
leucine appearance
Yellow-brown spheres **Concentric circles** and radial striations
80
tyrosine appearance
Fine, colorless to yellow needles Clusters or rosettes
81
bilirubin appearance
**Clumped needles** Granules with amber color of bilirubin
82
radiographic dye appearance
Colorless, long pointed needles Flat, long rectangular plates
83
sulfa crystals appearance
Needles Rhombic Whetstones Sheaves of wheat Rosettes Colorless to yellow-brown
84
ampicillin appearance
Colorless needles that tend to form bundles after refrigeration
85
hemosiderin appearance
Coarse, yellow-brown “iron” granules Prussian blue stain (blue granules)
86
hippuric acid appearance
Yellow-brown or colorless Elongated prisms or plates **pointed ends**
87
starch appearance
Spheres with a **dimpled** center Highly refractile maltese cross