urinalysis Ch 6
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you should examine a minimum of this number of fields when performing microscopic settlement examination. | 10
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A urine specimen maybe referred for a cytodiagnostic testing to detect? | unusual malignant pathological cells
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scanning the edge of the slide cover ensures that you won't miss these sediment constituents: | the presence of cast
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all sediment constituents are reported as quantity per high power field except | squamous, mucus, casts
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the chemical test for glucose may provide significant information regarding the presence of this microscopic element | yeast because yeast eat sugar
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using polarized microscopy what elements are birefringent (able to reflect) | cholesterol, fatty acids, triglycerides
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using standard bright field microscopy high power of magnification is | 40x or 400
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low light microscope levels are used to detect | sediment and casts
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crenated RBC's are associated with | hypersensitive (concentrated) urine
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dilute alkaline urine may have what elements present microscopically | ghost cells RBCs
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RBC in urine sediment and symptoms of back pain may indicate? | kidney stones or renal calculi
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RBCs, yeast, and oil droplets may be differentiated by | adding acidic acid to lysed RBCs, oil is refractile, yeast budding
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hypo chromic irregular shaped RBC's in urine sediment may indicate | glomerular bleeding
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what is a glitter cell | neutrophil
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an increase in urinary WBC's is known as | pyuria
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urinary sediment containing increase WBCs may also have this element present | bacteria
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when eosinophils are found in urine it indicates | interstitial nephritis - inflammation of kidney in the space between the tubules
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what are oval fat bodies | RTE cells containing lipid
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what type of cell lines the bladder | transitional epithelial cells -flexible
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when focusing the microscope use this element as a reference point | epithelial cell
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clue cells are | veriation of the squamous epithelial cell
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what organism may be found attached to clue cells | gardnerella vaginitis bacteria
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these cells are found in increased numbers in urine sediment only when kidney damage has occurred | renal tubular epithelial cells
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bilirubin is most likely to stain this type of cell | renal tubular epithelials cells
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collection of a mid stream clean catch will eliminate contamination with | squamous cells
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what element may be found in both a urine sediment and a vaginal wet prep | clue cells
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the formation of casts are enhanced by | stasis of urine (how long it sits)
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the major constituent of casts is | Tammy-horsfall protein
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how are waxy cast different from hyaline cast | hyaline casts have a higher refractive index
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where are cast formed | distal convoluted tubules and collecting ducts
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the presence of this element can differentiate between upper and lower UTI | WBC casts are formed in the upper track
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how can you differentiate a bacterial cast from a granular casts | gram-stain
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broad casts form as a result of | renal failure, urinary stasis, and tubular destruction
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bleeding in the nephron is associated with this sediment element | RBC cast
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Urinary stasis results in the formation of these elements | Waxy, Broad, WBC Casts
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Identification of crystals are based on | solubility and pH
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Normal acidic urine crystals are | Amorphous urates, uric acid, calcium oxalate
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Abnormal crystals are found in what type of urine pH | acid urine
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What information is helpful when identifying crystals | PH and solubility
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these crystals are found in alkaline urine | Amorphis phosphates, calcium phosphate, triple phosphate, ammonium biurates, calcium carbonate
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Crystals most often associated with disease are | leucine and tyrosine
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Refrigeration of urine causes the formation of | amorphous urates, amorphous phosphates
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Medication crystal formation are most often formed because | of dehydration
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the significance of bacteria is increased when | Accompanied by WBC's
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Used may appear in these forms | Buds refractile oval structures or myCelia branched
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Motility is a key factor in assisting with the identification of | Trichomonas vagionitis
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Urine artifacts differ from True sediment element by | Larger size and more refractability
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Mucus may be confused with | Hyline casts
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