Transcript Urine Sediment Identification Presentation

Case History - 1

24-year-old female
patient. Asymptomatic
UA during a physical
exam.
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Rapid Chemistry
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Uric Acid
SG = 1.016
pH = 6.0
Blood, Protein, Glucose, &
Leukocyte Esterase =
Negative
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Case History - 2
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48-year old male found
incoherent and
hospitalized.
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Rapid Chemistries
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Waxy Cast
Cloudy urine
Blood 2+
Protein 4+
Nitrite & Leukocyte
Esterase = Positive
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Case History - 3
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63-year old male with
lower back pain.
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Rapid Chemistries
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Fibers
pH 5.0
Nitrite = Positive
Protein, Blood,
Leukocyte Esterase,
Glucose, Ketones =
Negative
3
Case History - 4
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45-year old male with
chronic hepatitis.
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Rapid Chemistries
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Bilirubin
Specific Gravity = 1.015
pH 5.5
Bilirubin = Positive
Protein = 3+
Leukocyte Est. = Positive
Nitrite, Blood, Glucose,
Ketones = Negative
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Case History - 5
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19-year old female.
Asymptomatic with UA
during a physical exam.
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Rapid Chemistries
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Hyaline Cast
pH 6.5
Blood = 1+
Protein = Trace
Leukocyte Est., Nitrite,
Glucose, Ketones = Negative
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Case History - 6
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25-year old female admitted
for multiple substance
abuse.
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Rapid Chemistries
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Calcium Oxalate
Cloudy
pH 6.5
Protein = Trace
Leukocyte Est., Nitrite, Blood,
Glucose & Ketones =
Negative
6
Case History - 7

52-year old female
admitted for renal
disease.
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Rapid Chemistries
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Waxy Cast
pH 5.0
Protein = 3+
Specific Gravity = 1.030
Leukocyte Est., Nitrite,
Blood, Glucose, Ketones =
Negative
7
Case History - 8
71-year old male with
alcoholic cirrhosis and
esophageal bleeding.
Rapid Chemistries
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Cellular
Cast,RBC
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pH 5.0
Specific Gravity = 1.030
Protein = 2+
Blood = 2+
Bilirubin = 3+
Leukocyte Est. = Negative
Nitrite & Glucose = Negative
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Case History - 9
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20-year old female with
acute pyelonephritis (renal
Infection).
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Rapid Chemistries
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Cellular Cast, WBC
pH 5.0
Nitrite = Positive
Protein = 2+
Leukocyte Esterase = Positive
Blood, Bilirubin, Ketones &
Glucose = Negative
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Case History - 10

20-year old male.
Asymptomatic with UA
performed during a physical
exam.
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Rapid Chemistries
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Triple Phosphate
pH 7.5
Protein = Trace
Leukocyte Esterase, Nitrite,
Blood, Bilirubin, Ketones &
Glucose = Negative
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Urine Sediment Training
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Questions?
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References
Graff, Laurine; A Handbook of Routine
Urinalysis; The Lippencott Company, 1983
 http://library.med.utah.edu/WebPath/TUTOR
IAL/URINE/URINE.html
 http://www.medicine.uiowa.edu/cme/clia/mo
dules.asp?testID=20
 http://www.agora.crosemont.qc.ca/urinesedi
ments/doceng/doc_028.htm

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References
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http://www.med.osaka-u.ac.jp/pub/hplab/www/atlas/ECONTENTS.html
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