URINE SEDIMENTS

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URINE SEDIMENTS

• DEPARTMENT OF PATHOLOGY AND LABORATORY DIAGNOSIS
• FATIMA COLLEGE OF MEDICINE

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URINE SEDIMENTS
RED BLOOD CELLS. UNSTAINED, X400.
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URINE SEDIMENTS
RED BLOOD CELLS. STERNHEIMER STAIN, X400.
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URINE SEDIMENTS
WHITE BLOOD CELLS. UNSTAINED, X400.
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URINE SEDIMENTS
WHITE BLOOD CELLS. STERNHEIMER STAIN, X400.
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URINE SEDIMENTS
SQUAMOUS EPITHELIAL CELLS (SUPERFICIAL TYPE).
CYTOLASM IS THIN AND WRINKLED. CELL PERIPHERY IS
FOLDED. UNSTAINED, X400.
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URINE SEDIMENTS
SQUAMOUS EPITHELIAL CELLS (SUPERFICIAL TYPE).
STAINABILITY OF THE CELLS ARE GOOD. THE NUCLEI
ARE SMALL AND CONDENSED. STERNHEIMER STAIN, X400.
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URINE SEDIMENTS
SQUAMOUS EPITHELIAL CELLS (INTERMEDIATE TYPE).
THE CYTOPLASM IS THICKER THAN THAT OF SUPERFICIAL
TYPE CELLS. CELL PERIPHERY IS CLEAN AND ROUND.
UNSTAINED, X400.
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URINE SEDIMENTS
SQUAMOUS EPITHELIAL CELLS (INTERMEDIATE TYPE).
STAINABILITY IS GENERALLY POOR. THE CELLS STAIN
LIGHT PINK. STERNHEIMER STAIN, X400.
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URINE SEDIMENTS
SQUAMOUS EPITHELIAL CELLS (DEEP LAYER TYPE). THE
CYTOPLASM IS THICK AND HOMOGENOUS. CELL SHAPE IS
MOSTLY SPHERICAL. UNSTAINED, X400.
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URINE SEDIMENTS
SQUAMOUS EPITHELIAL CELLS (DEEP LAYER TYPE).
STAINABILITY IS GENERALLY POOR. STERNHEIMER
STAIN, X400.
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URINE SEDIMENTS
TRANSITIONAL EPITHELIAL CELLS (SUPERFICIAL TYPE).
THEY HAVE THICKER CYTOPLASM. THE PERIPHERAL IS
CRESCENT- SHAPED, POLYGONAL AND ANGULAR.
UNSTAINED, X400
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URINE SEDIMENTS
TRANSITIONAL EPITHELIAL CELLS (SUPERFICIAL TYPE).
THE SURFACE STRUCTURE IS ROUGH. THE CELLS HAVE
GENERALLY HAVE 2 OR 3 NUCLEI AND THEY ARE LARGE.
STERNHEIMER STAIN, X400.
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URINE SEDIMENTS
TRANSITIONAL EPITHELIAL CELLS (INTERMEDIATE
TYPE). THE CYTOPLASM SHOWS A YELLOWISH TONE.
SURFACE STRUCTURE OF THE CELLS IS ROUGH. THE
PERIPHERAL IS ANGULAR. UNSTAINED X400.
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URINE SEDIMENTS
TRANSITIONAL EPITHELIAL CELLS (INTERMEDIATE
TYPE). STAINABILITY IS GOOD, RESULTING IN A PINK
VIOLET STAIN. STERNHEIMER STAIN X400.
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URINE SEDIMENTS
TRANSITIONAL EPITHELIAL CELLS (DEEP LAYER TYPE).
THE CYTOPLASM IS GENERALLY THINNER THAN IN DEEP
LAYER TYPE SQUAMOUS EPITHELIAL CELLS. THE
PERIPHERY OF THE CELLS IS ANGULAR. THE UNSTAINED
CYTOPLASM SHOWS A YELLOWISH TONE. UNSTAINED, X400.
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URINE SEDIMENTS
TRANSITIONAL EPITHELIAL CELLS (DEEP LAYER TYPE).
STAINABILITY IS GOOD. STERNHEIMER STAIN, X400.
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URINE SEDIMENTS
RENAL TUBULAR EPITHELIAL CELLS. THE LARGE AND
IRREGULAR CELLS ARE RENAL TUBULAR EPITHELIAL
CELLS. THE NUCLEI ARE SMALL AND UNEVENLY LOCATED.
UNSTAINED, X400.
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URINE SEDIMENTS
RENAL TUBULAR EPITHELIAL CELLS. STAINABILITY IS
GOOD. THE PERIPHERAL STRUCTURE IS INDENTED.
STERNHEIMER STAIN, X400.
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URINE SEDIMENTS
OVAL FAT BODY. THE FAT GRANULES SHOW A YELLOWISH
BROWN GLOSS OR DARK BROWN GLOSS. UNSTAINED, X400.
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URINE SEDIMENTS
OVAL FAT BODY. FAT GRANULES STAIN RED. SUDAN III
STAIN, X400
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URINE SEDIMENTS
OVAL FAT BODY. THE SO-CALLED MALTESE CROSS DOUBLE
REFRACTIVE IMAGE IS OBSERVED. POLARIZING
MICROSCOPE IMAGE, X400.
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URINE SEDIMENTS
HYALINE CAST. NO INCLUSION IS SEEN IN THE CAST.
UNSTAINED, X400.
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URINE SEDIMENTS
HYALINE CAST. NO INCLUSION IS SEEN IN THE CAST.
STERNHEIMER STAIN, X400.
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URINE SEDIMENTS
HYALINE CAST. CHARACTERIZED BY A SMALL QUANTITY
OF FINE GRANULES INCLUDED IN THE CAST.
STERNHEIMER STAIN, X400.
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URINE SEDIMENTS
EPITHELIAL CELL CAST. MANY RENAL TUBULAR
EPITHELIAL CELLS ARE SEEN IN THE CAST. UNSTAINED,
X400.
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URINE SEDIMENTS
EPITHELIAL CELL CAST. MANY RENAL TUBULAR
EPITHELIAL CELLS COMPLETELY FILL THE CAST.
STERNHEIMER STAIN, X400.
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URINE SEDIMENTS
GRANULAR CAST. THE CAST CONTAINS MANY COARSE
GRANULES. UNSTAINED, X400.
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URINE SEDIMENTS
GRANULAR CAST. ROUGH GRANULES ACCOUNT FOR MOST OF
THE CAST. STERNHEIMER-MALBIN STAIN, X400.
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URINE SEDIMENTS
WAXY CAST (BROAD CAST). THE CAST SHOW A
CHARACTERISTIC FISSURE. THE CAST IS VERY BROAD
WHEN COMPARED WITH SURROUNDING CELLS. UNSTAINED,
X400.
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URINE SEDIMENTS
WAXY CAST. THE CAST ALSO HAS A FISSURE AND WAXY
SURFACE, BUT THE WIDTH IS NOT SO GREAT.
STERNHEIMER STAIN, X400.
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URINE SEDIMENTS
FATTY CAST. FATTY GRANULES ARE TIGHTLY PACKED IN
THE CAST. UNSTAINED, X400.
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URINE SEDIMENTS
FATTY CAST. FATTY GRANULES DO NOT STAIN, BUT THE
CAST AS A WHOLE, STAIN ORANGE-YELLOW COLOR.
STERNHEIMER STAIN, X400.
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URINE SEDIMENTS
FATTY CAST. FATTY GRANULES STAIN ORANGE RED
COLOR. SUDAN III STAIN, X400.
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URINE SEDIMENTS
RBC CAST. THE CAST SHOW A YELLOW-BROWN COLOR
REFLECTING THE HEMOGLOBIN PIGMENT. UNSTAINED,
X400.
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URINE SEDIMENTS
RBC CAST. RBCS INCLUDED IN THE CAST STAIN LIGHT
RED AND CAN BE CLEARLY DISTINGUISHED. STERNHEIMER
STAIN, X400.
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URINE SEDIMENTS
WBC CAST. THIS CAST CONTAINS MANY WBCS.
UNSTAINED, X400.
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URINE SEDIMENTS
WBC CAST. THIS CAST CONTAINS MANY WBCS INCLUDING
SEGMENTED NEUTROPHIL. STERNHEIMER STAIN, X400.
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URINE SEDIMENTS
BACTERIA. MANY ROD-SHAPED BACTERIA ARE OBSERVED.
WBCS ARE ALSO PRESENT. THIS SPECIMEN IS REPORTED
AS BACTERIA ().
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URINE SEDIMENTS
YEAST. THE SHAPES ADOPTED BY YEAST ARE OVOID,
GRAINY AND BUDDING. THIS SPECIMEN IS REPORTED AS
YEAST ().
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URINE SEDIMENTS
TRICHOMONAS. FLAGELLATED TRICHOMONAS WHICH MOVE
ACTIVELY ARE SEEN. THEY ARE GLOSSY AND A LITTLE
LARGER THAN WBC. THIS SPECIMEN IS REPORTED AS
TRICHOMONAS ().
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URINE SEDIMENTS
CALCIUM OXALATE CRYSTALS. COLORLESS, REGULAR
OCTAHEDRAL. PH 6.0. UNSTAINED, X400.
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URINE SEDIMENTS
CALCIUM OXALATE CRYSTALS. BISCUIT-SHAPED. THEY
MAY BE CONFUSED WITH RED BLOOD CELLS. PH 6.0,
UNSTAINED, X400.
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URINE SEDIMENTS
URIC ACID CRYSTAL. THEY APPEAR YELLOW-BROWN IN
COLOR. IN THIS EXAMPLE, LARGE LENS-SHAPED
CRYSTALS OVERLAP EACH OTHER. PH 6.0, UNSTAINED,
X400.
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URINE SEDIMENTS
URIC ACID CRYSTAL. NOTICE THE YELLOW COLOR AND
VARIETY OF SHAPES. X400.
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URINE SEDIMENTS
URIC ACID CRYSTAL, POLARIZED. X400.
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URINE SEDIMENTS
CALCIUM PHOSPHATE CRYSTAL. THIS IS WHITISH GRAY,
IRREGULAR PLATE FORM. PH 8.0, UNSTAINED, X400.
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URINE SEDIMENTS
TRIPLE PHOSPHATE CRYSTAL. COLORLESS CRYSTALS
CHARACTERIZED BY STRONG BIREFRINGENCE AND
ENVELOPE OR COFFIN FORMS. PH 7.5, UNSTAINED, X400.
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URINE SEDIMENTS
BILIRUBIN CRYSTALS. REDDISH BROWN, SHORT
NEEDLE-SHAPED CRYSTALS FORMING BUNDLES. PH 6.5,
UNSTAINED, X400.
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URINE SEDIMENTS
CHOLESTEROL CRYSTALS. COLORLESS FLAT PLATES WITH
NOTCHED EDGES. A CASE OF CYSTIC NEPHROPATHY.
UNSTAINED.
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URINE SEDIMENTS
CYSTINE CRYSTALS. HEXAGONAL PLATES. PH 5.5,
UNSTAINED, X400.
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URINE SEDIMENTS
AMMONIUM BIURATE CRYSTALS. NOTICE THE THORNY
APPLE APPEARANCE, X400.
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URINE SEDIMENTS
TYROSINE CRYSTALS. YELLOW COLOR SUGGESTS LIVER
DISEASE. X400.
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URINE SEDIMENTS
SULFA CRYSTALS. ALSO SEEN ARE WBCS AND BACTERIA
SUGGESTING A UTI. X400.
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URINE SEDIMENTS
AMPICILLIN CRYSTALS. BUNDLES OF CRYSTALS ARE SEEN
AFTER REFRIGERATION. X400.
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URINE SEDIMENTS
STARCH GRANULES. NOTICE THE REFRACTILITY. X400.
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URINE SEDIMENTS
NORMAL SPERMATOZOA. X400.
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URINE SEDIMENTS
TRANSITIONAL CELL CARCINOMA CELLS. THE CELLS
APPEAR IN MASSES AND ARE MULTI-LAYERED.
UNSTAINED, X400.
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URINE SEDIMENTS
TRANSITIONAL CELL CARCINOMA CELLS. HIGH N/C
RATIO, PROMINENT HYPERCHROMASIA AND ANISOKARYOSIS
ARE SHOWN. A CASE OF URINARY BLADDER CA.
STERNHEIMER STAIN. X400.
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URINE SEDIMENTS
ADENOCARCINOMA CELLS. HIGH N/C RATIO, ENLARGED
NUCLEOLI AND ANISOKARYOSIS ARE SHOWN. A CASE OF
MAMMARY CA WITH METASTASIS TO KIDNEY, STERNHEIMER
STAIN, X400.
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URINE SEDIMENTS
SQUAMOUS CELL CARCINOMA CELLS. STRANGE SHAPES,
NUCLEAR ENLARGEMENT, HYPERCHROMASIA AND
ANISOKARYOSIS ARE SHOWN. A CASE OF CONTAMINATED
URINE WITH SQUAMOUS CELL CARCINOMA OF THE UTERINE
CERVIX. STERNHEIMER STAIN, X400.
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