Urinalysis Tidbits University of Massachusetts Lowell尿检花絮麻州大学洛厄尔.pptVIP

Urinalysis Tidbits Stains Sternheimer-Malbin Crystal Violet and Safranin O Lipid Stains Oil Red O and Sudan III Stain Trigs and Neutral Fat but Not CholesterolCholesterol polarizes Cholesterol Drops Maltese Cross Cholesterol Crystals Birefringence Microscopic Sediment Prep 12 mL Spin 5 min at 400 RCF RCF Relative Centrifugal Force RCF = 1.118 x 10-5 x radius in cm x RPM2 Examine a Min of 10 Fields Low and High Microscopy Bright field Polarized Phase Contrast Interference Red Blood Cells Pale red Ghost Cells Dilute or Alkaline Lyse Hypertonic Conditions Crenate 2% Acetic Acid Lyse Yeast and Calcium Oxalate do not disappear with 2 % acidic acid WBC Granular and often visible nucleus Hypertonic will shrink Hypotonic “Glitter” cells associated with Infection and Irritation Pyelonephritis Glitter cells show Brownian movement Epithelial Cells Squamous Contamination Transitional Bladder Renal Tubular Renal Tubules Squamous Cells Large, flat irregular shape Small nucleus Urethra and contamination Not considered Clinically Sig Clue Cell Vaginal Infection w Gardnerella vaginalis Squamous cell covered w coccobacillus Covers most of cell and extends beyond edges Vaginal wet prep but may appear in urine Renal Tubular Cell Slightly larger than WBC Eccentric nucleus Increased numbers Tubular damage Pyelonephritis, Acute Tubular necrosis Hemosiderin Not birefringent unlike urates or phosphates Prussian blue dye stains iron of Hb blue Transitional Cells Smaller than Squamous Several Forms Caudate, spherical and polyhedral Central nucleus Renal Pelvis, calyses, ureters and bladder Not Clinical Sig catheterization Starch granules Source Powdered Gloves Maltese cross Polarized light Look like a pouch Crab Pediculosis pubis Pinworm Enterobius vermicularis Ova one side flat Adult male Schistosoma hematobium World wide problem Egypt, Iraq, Syria, Iran Africa US lacks the snail intermediate host Trematode Terminal spine Triple Phosphate Tri Phosphate going