Atlas Urinalysis

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Atlas of

Microscopic Examination

of
The Urinary Sediment
Dr. Majed Wakid
Dr MAJED WAKID
MICROSCOPIC URINALYSIS

MICROSCOPIC URINALYSIS

MICROSCOPIC URINALYSIS

MICROSCOPIC URINALYSIS

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MICROSCOPIC URINALYSIS

MICROSCOPIC URINALYSIS

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Amorphous urate
Pinkish

granular appearance
They have no clinical significance

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Na-urate
Needles-like

appearance
They have no clinical
significance

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Hippuric acid (*)


Rare

crystal
Thick or thin needles
They have no clinical
significance

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Ca-sulfate
Rare

crystal
Thin needles
They have no
clinical significance

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Abnormal crystals

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Tyrosine
Very

fine, highly refractile needles


occurring in clusters
Clinical significance
- Severe liver disease
- Tyrosinosis

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Cystine
Colorless,

refractile hexagonal
plates, which appear singly, on
top of each other, or in
clusters
Clinical significance:
- Congenital cystinosis
- Congenital cystinuria
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Leucine
Oily,

highly refractile, yellow or


brown spheroids with radial and
concentric striations
Clinical significance
- Maple syrup urine disorders
- Liver disease
Leucine and tyrosine crystals are
often present together in the urine of
patients with liver disease
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Cholesterol
Large,

flat, transparent plates


with notched corners
Clinical significance
- Excessive tissue
breakdown
- Nephritis and nephrotic
condition
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Drugs, X-ray dye, and


others

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Triple phosphate
Prisms

with 3-6 sides, resemble


coffin lids
Some times in atypical feathery or
fern appearance

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Dr MAJED WAKID
MICROSCOPIC URINALYSIS

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Amorphous phosphate

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Ca-carbonate
Small

dumbbell or
spherical shape
When clumped, they
appear dark
No clinical
significance

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Ca-phosphate
Long,

thin, small prisms


with one pointed end.
Also they can form
granular plates form
No clinical significance

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Ammonium biurate (*)


Yellow-brown

spherical bodies with


or without long, irregular spicules

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Dr MAJED WAKID
MICROSCOPIC URINALYSIS

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Dr MAJED WAKID
MICROSCOPIC URINALYSIS

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