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Calcium oxalate crystals Uric acid crystals

Triple phosphate crystals Amorphous Cysteine crystals


Cells commonly seen on microscopic examination of urine sediment

RBCs Pus cells Fungal hyphae

Squamous epithelial cells Transitional cells


Less common crystals

Tyrosine Ammonium biurate


Calcium carbonate crystals (pH ˃7)
crystals crystals

Bilirubin crystals

Cholesterol crystals
Cover slip glass chip Gloves powder

Johnson’s baby
4 powder Diaper fiber
Cast formation

Hyaline cast Epithelial cast

Cellular casts waxy casts Granular cast


Worms Recovered In Stool

Enterobius
vermicularis
cylindrical worm
about 10 mm long

Taenia worm
Ribbon-like
several meters long

Ascaris lumbricoides Single segments


Cylindrical worm creep out of anus click
about 20 cm long
Parasite Eggs in Stool by the Low Power(10X)
Big-
sized 150X 60µ 140X 70µ
eggs S.mansoni Fasciola
egg egg
Medium- 60 60
sized X X 50µ
eggs 45µ 40µ
Ascaris egg Ancylostoma egg H.nana egg

Small- click click


sized 40µ 50X 20µ 40X 20µ 30X 15µ 50X 20µ
eggs Taenia Trichuris CapillariaHeterophyes
egg egg egg egg egg
Artifacts in stool mistaken for Ascaris Eggs

Ascaris egg 10X Plant cell 10X

Pollen grains 40X


Artifacts in stool mistaken for H.nana Eggs

Hymenolepis nana eggs Unknown object

Mite Eggs mistaken for Ancylostoma egg

Mite eggs

Mites occur in house dust, Ancylostoma


stored food egg
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Artifacts mistaken for Capillaria eggs

Capillaria egg 40X

A fungal spore
(Morchella sp.) Pollen grain 40X
Taenia egg
40X

Pollen grains 40X


Artifacts in stool mistaken for Enterobius eggs
Iodine stained unstained

Morel Mushroom spore


Enterobius eggs

Artifacts in stool mistaken for Strongyloides larva


Strongyloides larva 250 µ
Iodine stained Unstained

Hairs of variable length


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Protozoa in stool seen by the High Power (40X)
iodine stained
15X8µ 25µ

12X7µ Entamoeba histolytica


Giardia lamblia cyst seen within mucus

12µ 30µ 15µ


E.histolytica/dispar
E.coli cyst E.histolytica pre-cyst
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/ dispar cyst
Cells in stool mistaken for Giardia lamblia

Iodine-stained cyst 40X

Axostyle
Giardia lamblia cyst Fungal spore Yeast cells

Yeast cell Giardia cyst


14 Many yeast cell
Cryptosporidium, Cyclospora & Isospora (oocysts)

Detected by Stool examination


Unstained oocyst
Protozoa cause severe
watery diarrhoea in Cyclospora Unsporulated
immunosuppressed Isospora
patients
Stained oocyst by MZN stain seen by100X

Unsporulated Sporulated
Cryptosporidium Cyclospora Isospora Isospora
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Determination of Sperm Count

If the volume of semen sample is less than 1ml


= don’t write the total count
Sperm count by Standard Neubauer haemocytometer

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