1. URINE SEDIMENTS DEPARTMENT OF PATHOLOGY AND LABORATORY DIAGNOSIS
FATIMA COLLEGE OF MEDICINE

2. RED BLOOD CELLS. UNSTAINED, X400.
URINE SEDIMENTS
RED BLOOD CELLS. UNSTAINED, X400.

3. RED BLOOD CELLS. STERNHEIMER STAIN, X400.
URINE SEDIMENTS
RED BLOOD CELLS. STERNHEIMER STAIN, X400.

4. WHITE BLOOD CELLS. UNSTAINED, X400.
URINE SEDIMENTS
WHITE BLOOD CELLS. UNSTAINED, X400.

5. WHITE BLOOD CELLS. STERNHEIMER STAIN, X400.
URINE SEDIMENTS
WHITE BLOOD CELLS. STERNHEIMER STAIN, X400.

6. URINE SEDIMENTS
SQUAMOUS EPITHELIAL CELLS (SUPERFICIAL TYPE). CYTOLASM IS THIN AND WRINKLED. CELL PERIPHERY IS FOLDED. UNSTAINED, X400.

7. URINE SEDIMENTS
SQUAMOUS EPITHELIAL CELLS (SUPERFICIAL TYPE). STAINABILITY OF THE CELLS ARE GOOD. THE NUCLEI ARE SMALL AND CONDENSED. STERNHEIMER STAIN, X400.

8. URINE SEDIMENTS
SQUAMOUS EPITHELIAL CELLS (INTERMEDIATE TYPE). THE CYTOPLASM IS THICKER THAN THAT OF SUPERFICIAL TYPE CELLS. CELL PERIPHERY IS CLEAN AND ROUND. UNSTAINED, X400.

9. URINE SEDIMENTS
SQUAMOUS EPITHELIAL CELLS (INTERMEDIATE TYPE). STAINABILITY IS GENERALLY POOR. THE CELLS STAIN LIGHT PINK. STERNHEIMER STAIN, X400.

10. URINE SEDIMENTS
SQUAMOUS EPITHELIAL CELLS (DEEP LAYER TYPE). THE CYTOPLASM IS THICK AND HOMOGENOUS. CELL SHAPE IS MOSTLY SPHERICAL. UNSTAINED, X400.

11. URINE SEDIMENTS
SQUAMOUS EPITHELIAL CELLS (DEEP LAYER TYPE). STAINABILITY IS GENERALLY POOR. STERNHEIMER STAIN, X400.

12. URINE SEDIMENTS
TRANSITIONAL EPITHELIAL CELLS (SUPERFICIAL TYPE). THEY HAVE THICKER CYTOPLASM. THE PERIPHERAL IS CRESCENT- SHAPED, POLYGONAL AND ANGULAR. UNSTAINED, X400

13. URINE SEDIMENTS
TRANSITIONAL EPITHELIAL CELLS (SUPERFICIAL TYPE). THE SURFACE STRUCTURE IS ROUGH. THE CELLS HAVE GENERALLY HAVE 2 OR 3 NUCLEI AND THEY ARE LARGE. STERNHEIMER STAIN, X400.

14. URINE SEDIMENTS
TRANSITIONAL EPITHELIAL CELLS (INTERMEDIATE TYPE). THE CYTOPLASM SHOWS A YELLOWISH TONE. SURFACE STRUCTURE OF THE CELLS IS ROUGH. THE PERIPHERAL IS ANGULAR. UNSTAINED X400.

15. URINE SEDIMENTS
TRANSITIONAL EPITHELIAL CELLS (INTERMEDIATE TYPE). STAINABILITY IS GOOD, RESULTING IN A PINK VIOLET STAIN. STERNHEIMER STAIN X400.

16. URINE SEDIMENTS
TRANSITIONAL EPITHELIAL CELLS (DEEP LAYER TYPE). THE CYTOPLASM IS GENERALLY THINNER THAN IN DEEP LAYER TYPE SQUAMOUS EPITHELIAL CELLS. THE PERIPHERY OF THE CELLS IS ANGULAR. THE UNSTAINED CYTOPLASM SHOWS A YELLOWISH TONE. UNSTAINED, X400.

17. URINE SEDIMENTS
Won’t give for the urine
TRANSITIONAL EPITHELIAL CELLS (DEEP LAYER TYPE). STAINABILITY IS GOOD. STERNHEIMER STAIN, X400.

18. URINE SEDIMENTS
RENAL TUBULAR EPITHELIAL CELLS. THE LARGE AND IRREGULAR CELLS ARE RENAL TUBULAR EPITHELIAL CELLS. THE NUCLEI ARE SMALL AND UNEVENLY LOCATED. UNSTAINED, X400.

19. URINE SEDIMENTS
RENAL TUBULAR EPITHELIAL CELLS. STAINABILITY IS GOOD. THE PERIPHERAL STRUCTURE IS INDENTED. STERNHEIMER STAIN, X400.

20. URINE SEDIMENTS
OVAL FAT BODY. THE FAT GRANULES SHOW A YELLOWISH BROWN GLOSS OR DARK BROWN GLOSS. UNSTAINED, X400.

21. OVAL FAT BODY. FAT GRANULES STAIN RED. SUDAN III STAIN, X400
URINE SEDIMENTS
OVAL FAT BODY. FAT GRANULES STAIN RED. SUDAN III STAIN, X400

22. URINE SEDIMENTS
OVAL FAT BODY. THE SO-CALLED MALTESE CROSS DOUBLE REFRACTIVE IMAGE IS OBSERVED. POLARIZING MICROSCOPE IMAGE, X400.

23. HYALINE CAST. NO INCLUSION IS SEEN IN THE CAST. UNSTAINED, X400.
URINE SEDIMENTS
HYALINE CAST. NO INCLUSION IS SEEN IN THE CAST. UNSTAINED, X400.

24. URINE SEDIMENTS
HYALINE CAST. NO INCLUSION IS SEEN IN THE CAST. STERNHEIMER STAIN, X400.

25. URINE SEDIMENTS
HYALINE CAST. CHARACTERIZED BY A SMALL QUANTITY OF FINE GRANULES INCLUDED IN THE CAST. STERNHEIMER STAIN, X400.

26. URINE SEDIMENTS
EPITHELIAL CELL CAST. MANY RENAL TUBULAR EPITHELIAL CELLS ARE SEEN IN THE CAST. UNSTAINED, X400.

27. URINE SEDIMENTS
EPITHELIAL CELL CAST. MANY RENAL TUBULAR EPITHELIAL CELLS COMPLETELY FILL THE CAST. STERNHEIMER STAIN, X400.

28. URINE SEDIMENTS
GRANULAR CAST. THE CAST CONTAINS MANY COARSE GRANULES. UNSTAINED, X400.

29. URINE SEDIMENTS
GRANULAR CAST. ROUGH GRANULES ACCOUNT FOR MOST OF THE CAST. STERNHEIMER-MALBIN STAIN, X400.

30. URINE SEDIMENTS
WAXY CAST (BROAD CAST). THE CAST SHOW A CHARACTERISTIC FISSURE. THE CAST IS VERY BROAD WHEN COMPARED WITH SURROUNDING CELLS. UNSTAINED, X400.

31. URINE SEDIMENTS
WAXY CAST. THE CAST ALSO HAS A FISSURE AND WAXY SURFACE, BUT THE WIDTH IS NOT SO GREAT. STERNHEIMER STAIN, X400.

32. URINE SEDIMENTS
FATTY CAST. FATTY GRANULES ARE TIGHTLY PACKED IN THE CAST. UNSTAINED, X400.

33. URINE SEDIMENTS
FATTY CAST. FATTY GRANULES DO NOT STAIN, BUT THE CAST AS A WHOLE, STAIN ORANGE-YELLOW COLOR. STERNHEIMER STAIN, X400.

34. URINE SEDIMENTS
FATTY CAST. FATTY GRANULES STAIN ORANGE RED COLOR. SUDAN III STAIN, X400.

35. URINE SEDIMENTS
RBC CAST. THE CAST SHOW A YELLOW-BROWN COLOR REFLECTING THE HEMOGLOBIN PIGMENT. UNSTAINED, X400.

36. URINE SEDIMENTS
RBC CAST. RBC’S INCLUDED IN THE CAST STAIN LIGHT RED AND CAN BE CLEARLY DISTINGUISHED. STERNHEIMER STAIN, X400.

37. WBC CAST. THIS CAST CONTAINS MANY WBC’S. UNSTAINED, X400.
URINE SEDIMENTS
WBC CAST. THIS CAST CONTAINS MANY WBC’S. UNSTAINED, X400.

38. URINE SEDIMENTS
WBC CAST. THIS CAST CONTAINS MANY WBC’S INCLUDING SEGMENTED NEUTROPHIL. STERNHEIMER STAIN, X400.

39. URINE SEDIMENTS
BACTERIA. MANY ROD-SHAPED BACTERIA ARE OBSERVED. WBC’S ARE ALSO PRESENT. THIS SPECIMEN IS REPORTED AS “BACTERIA (+++)”.

40. URINE SEDIMENTS
YEAST. THE SHAPES ADOPTED BY YEAST ARE OVOID, GRAINY AND BUDDING. THIS SPECIMEN IS REPORTED AS “YEAST (+++)”.

41. URINE SEDIMENTS
TRICHOMONAS. FLAGELLATED TRICHOMONAS WHICH MOVE ACTIVELY ARE SEEN. THEY ARE GLOSSY AND A LITTLE LARGER THAN WBC. THIS SPECIMEN IS REPORTED AS “TRICHOMONAS (+++)”.

42. URINE SEDIMENTS
CALCIUM OXALATE CRYSTALS. COLORLESS, REGULAR OCTAHEDRAL. PH 6.0. UNSTAINED, X400.

43. URINE SEDIMENTS
CALCIUM OXALATE CRYSTALS. BISCUIT-SHAPED. THEY MAY BE CONFUSED WITH RED BLOOD CELLS. PH 6.0, UNSTAINED, X400.

44. URINE SEDIMENTS
URIC ACID CRYSTAL. THEY APPEAR YELLOW-BROWN IN COLOR. IN THIS EXAMPLE, LARGE LENS-SHAPED CRYSTALS OVERLAP EACH OTHER. PH 6.0, UNSTAINED, X400.

45. URINE SEDIMENTS
URIC ACID CRYSTAL. NOTICE THE YELLOW COLOR AND VARIETY OF SHAPES. X400.

46. URIC ACID CRYSTAL, POLARIZED. X400.
URINE SEDIMENTS
URIC ACID CRYSTAL, POLARIZED. X400.

47. URINE SEDIMENTS
CALCIUM PHOSPHATE CRYSTAL. THIS IS WHITISH GRAY, IRREGULAR PLATE FORM. PH 8.0, UNSTAINED, X400.

48. URINE SEDIMENTS
TRIPLE PHOSPHATE CRYSTAL. COLORLESS CRYSTALS CHARACTERIZED BY STRONG BIREFRINGENCE AND ENVELOPE OR COFFIN FORMS. PH 7.5, UNSTAINED, X400.

49. URINE SEDIMENTS
BILIRUBIN CRYSTALS. REDDISH BROWN, SHORT NEEDLE-SHAPED CRYSTALS FORMING BUNDLES. PH 6.5, UNSTAINED, X400.

50. URINE SEDIMENTS
CHOLESTEROL CRYSTALS. COLORLESS FLAT PLATES WITH NOTCHED EDGES. A CASE OF CYSTIC NEPHROPATHY. UNSTAINED.

51. CYSTINE CRYSTALS. HEXAGONAL PLATES. PH 5.5, UNSTAINED, X400.
URINE SEDIMENTS
CYSTINE CRYSTALS. HEXAGONAL PLATES. PH 5.5, UNSTAINED, X400.

52. AMMONIUM BIURATE CRYSTALS. NOTICE THE “THORNY APPLE” APPEARANCE, X400.
URINE SEDIMENTS
AMMONIUM BIURATE CRYSTALS. NOTICE THE “THORNY APPLE” APPEARANCE, X400.

53. TYROSINE CRYSTALS. YELLOW COLOR SUGGESTS LIVER DISEASE. X400.
URINE SEDIMENTS
TYROSINE CRYSTALS. YELLOW COLOR SUGGESTS LIVER DISEASE. X400.

54. URINE SEDIMENTS
SULFA CRYSTALS. ALSO SEEN ARE WBC’S AND BACTERIA SUGGESTING A UTI. X400.

55. URINE SEDIMENTS
AMPICILLIN CRYSTALS. BUNDLES OF CRYSTALS ARE SEEN AFTER REFRIGERATION. X400.

56. STARCH GRANULES. NOTICE THE REFRACTILITY. X400.
URINE SEDIMENTS
STARCH GRANULES. NOTICE THE REFRACTILITY. X400.

57. URINE SEDIMENTS
NORMAL SPERMATOZOA. X400.

58. URINE SEDIMENTS
TRANSITIONAL CELL CARCINOMA CELLS. THE CELLS APPEAR IN MASSES AND ARE MULTI-LAYERED. UNSTAINED, X400.

59. URINE SEDIMENTS
TRANSITIONAL CELL CARCINOMA CELLS. HIGH N/C RATIO, PROMINENT HYPERCHROMASIA AND ANISOKARYOSIS ARE SHOWN. A CASE OF URINARY BLADDER CA. STERNHEIMER STAIN. X400.

60. URINE SEDIMENTS
ADENOCARCINOMA CELLS. HIGH N/C RATIO, ENLARGED NUCLEOLI AND ANISOKARYOSIS ARE SHOWN. A CASE OF MAMMARY CA WITH METASTASIS TO KIDNEY, STERNHEIMER STAIN, X400.

61. URINE SEDIMENTS
SQUAMOUS CELL CARCINOMA CELLS. STRANGE SHAPES, NUCLEAR ENLARGEMENT, HYPERCHROMASIA AND ANISOKARYOSIS ARE SHOWN. A CASE OF CONTAMINATED URINE WITH SQUAMOUS CELL CARCINOMA OF THE UTERINE CERVIX. STERNHEIMER STAIN, X400.

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