Urines and Smears Alan Cheng UNC Medicine Upper Level Conference 7/15/09.

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Presentation transcript:

Urines and Smears Alan Cheng UNC Medicine Upper Level Conference 7/15/09

Epithelial cell Transitional cell Above, clue cell. Below, normal.

Normal RBC’s Crenated RBC’s from elevated SG or PH. Normal RBC’s Dysmorphic RBC’s (mickey mouse)

Mixed bacteria trichomonad B – yeast, C - RBC

Hyaline casts WBC cast RBC cast Granular cast vs WBC cast

RBC casts WBC cast

Uric acid crystals Calcium oxalate Triple phosphate or Struvite Cysteine stones Calcium oxalate

sperm cotton

Triple phosphate Uric acid

A = renal tubular cell B = WBC A = renal tubular cell B = oval fat body oval fat body ineatlas_f.htm

Now on to heme…

Normal smear Plasma cell lymphocyte

neutrophil Monocyte BasophilNeutrophil and eosinophil

reticulocyte

Acanthocyte (spur cell) -Liver disease -Asplenia Echinocyte (burr cell) -(Liver or) Renal disease

Howell Jolly bodies Basophilic Stippling Nucleated RBC Pappenheimer bodies

Malaria Auer Rods, AML M3

Heinz body Rouleaux (stack of coins)

elliptocyte spherocyte

schistocyte Teardrop cell Sickle cells

Target cell – increase in membrane:volume ratio -Asplenia - Thalassemia - Hemoglobinopathies - Liver disease - Iron deficiency

normal macrocytosis Microcytic, hypochromic

Thanks