URINE SEDIMENTS
DEPARTMENT OF PATHOLOGY
AND LABORATORY DIAGNOSIS
FATIMA COLLEGE OF MEDICINE
URINE SEDIMENTS
RED BLOOD CELLS. UNSTAINED, X400.
URINE SEDIMENTS
RED BLOOD CELLS. STERNHEIMER STAIN, X400.
URINE SEDIMENTS
WHITE BLOOD CELLS. UNSTAINED, X400.
URINE SEDIMENTS
WHITE BLOOD CELLS. STERNHEIMER STAIN, X400.
URINE SEDIMENTS
SQUAMOUS EPITHELIAL CELLS (SUPERFICIAL TYPE).
CYTOLASM IS THIN AND WRINKLED. CELL PERIPHERY IS
FOLDED. UNSTAINED, X400.
URINE SEDIMENTS
SQUAMOUS EPITHELIAL CELLS (SUPERFICIAL TYPE).
STAINABILITY OF THE CELLS ARE GOOD. THE NUCLEI ARE
SMALL AND CONDENSED. STERNHEIMER STAIN, X400.
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.
URINE SEDIMENTS
SQUAMOUS EPITHELIAL CELLS (INTERMEDIATE TYPE).
STAINABILITY IS GENERALLY POOR. THE CELLS STAIN
LIGHT PINK. STERNHEIMER STAIN, X400.
URINE SEDIMENTS
SQUAMOUS EPITHELIAL CELLS (DEEP LAYER TYPE). THE
CYTOPLASM IS THICK AND HOMOGENOUS. CELL SHAPE IS
MOSTLY SPHERICAL. UNSTAINED, X400.
URINE SEDIMENTS
SQUAMOUS EPITHELIAL CELLS (DEEP LAYER TYPE).
STAINABILITY IS GENERALLY POOR. STERNHEIMER STAIN,
X400.
URINE SEDIMENTS
TRANSITIONAL EPITHELIAL CELLS (SUPERFICIAL TYPE).
THEY HAVE THICKER CYTOPLASM. THE PERIPHERAL IS
CRESCENT- SHAPED, POLYGONAL AND ANGULAR.
UNSTAINED, X400
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.
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.
URINE SEDIMENTS
TRANSITIONAL EPITHELIAL CELLS (INTERMEDIATE TYPE).
STAINABILITY IS GOOD, RESULTING IN A PINK VIOLET
STAIN. STERNHEIMER STAIN X400.
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.
URINE SEDIMENTS
TRANSITIONAL EPITHELIAL CELLS (DEEP LAYER TYPE).
STAINABILITY IS GOOD. STERNHEIMER STAIN, X400.
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.
URINE SEDIMENTS
RENAL TUBULAR EPITHELIAL CELLS. STAINABILITY IS
GOOD. THE PERIPHERAL STRUCTURE IS INDENTED.
STERNHEIMER STAIN, X400.
URINE SEDIMENTS
OVAL FAT BODY. THE FAT GRANULES SHOW A
YELLOWISH BROWN GLOSS OR DARK BROWN
GLOSS. UNSTAINED, X400.
URINE SEDIMENTS
OVAL FAT BODY. FAT GRANULES STAIN RED.
SUDAN III STAIN, X400
URINE SEDIMENTS
OVAL FAT BODY. THE SO-CALLED MALTESE
CROSS DOUBLE REFRACTIVE IMAGE IS
OBSERVED. POLARIZING MICROSCOPE IMAGE,
X400.
URINE SEDIMENTS
HYALINE CAST. NO INCLUSION IS SEEN IN THE
CAST. UNSTAINED, X400.
URINE SEDIMENTS
HYALINE CAST. NO INCLUSION IS SEEN IN THE
CAST. STERNHEIMER STAIN, X400.
URINE SEDIMENTS
HYALINE CAST. CHARACTERIZED BY A SMALL
QUANTITY OF FINE GRANULES INCLUDED IN THE
CAST. STERNHEIMER STAIN, X400.
URINE SEDIMENTS
EPITHELIAL CELL CAST. MANY RENAL TUBULAR
EPITHELIAL CELLS ARE SEEN IN THE CAST.
UNSTAINED, X400.
URINE SEDIMENTS
EPITHELIAL CELL CAST. MANY RENAL TUBULAR
EPITHELIAL CELLS COMPLETELY FILL THE CAST.
STERNHEIMER STAIN, X400.
URINE SEDIMENTS
GRANULAR CAST. THE CAST CONTAINS MANY
COARSE GRANULES. UNSTAINED, X400.
URINE SEDIMENTS
GRANULAR CAST. ROUGH GRANULES ACCOUNT
FOR MOST OF THE CAST. STERNHEIMER-MALBIN
STAIN, X400.
URINE SEDIMENTS
WAXY CAST (BROAD CAST). THE CAST SHOW A
CHARACTERISTIC FISSURE. THE CAST IS VERY
BROAD WHEN COMPARED WITH SURROUNDING
CELLS. UNSTAINED, X400.
URINE SEDIMENTS
WAXY CAST. THE CAST ALSO HAS A FISSURE
AND WAXY SURFACE, BUT THE WIDTH IS NOT SO
GREAT. STERNHEIMER STAIN, X400.
URINE SEDIMENTS
FATTY CAST. FATTY GRANULES ARE TIGHTLY
PACKED IN THE CAST. UNSTAINED, X400.
URINE SEDIMENTS
FATTY CAST. FATTY GRANULES DO NOT STAIN,
BUT THE CAST AS A WHOLE, STAIN ORANGEYELLOW COLOR. STERNHEIMER STAIN, X400.
URINE SEDIMENTS
FATTY CAST. FATTY GRANULES STAIN ORANGE
RED COLOR. SUDAN III STAIN, X400.
URINE SEDIMENTS
RBC CAST. THE CAST SHOW A YELLOW-BROWN
COLOR REFLECTING THE HEMOGLOBIN
PIGMENT. UNSTAINED, X400.
URINE SEDIMENTS
RBC CAST. RBC’S INCLUDED IN THE CAST STAIN
LIGHT RED AND CAN BE CLEARLY
DISTINGUISHED. STERNHEIMER STAIN, X400.
URINE SEDIMENTS
WBC CAST. THIS CAST CONTAINS MANY WBC’S.
UNSTAINED, X400.
URINE SEDIMENTS
WBC CAST. THIS CAST CONTAINS MANY WBC’S
INCLUDING SEGMENTED NEUTROPHIL.
STERNHEIMER STAIN, X400.
URINE SEDIMENTS
BACTERIA. MANY ROD-SHAPED BACTERIA ARE
OBSERVED. WBC’S ARE ALSO PRESENT. THIS
SPECIMEN IS REPORTED AS “BACTERIA (+++)”.
URINE SEDIMENTS
YEAST. THE SHAPES ADOPTED BY YEAST ARE
OVOID, GRAINY AND BUDDING. THIS SPECIMEN
IS REPORTED AS “YEAST (+++)”.
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
(+++)”.
URINE SEDIMENTS
CALCIUM OXALATE CRYSTALS. COLORLESS,
REGULAR OCTAHEDRAL. PH 6.0. UNSTAINED,
X400.
URINE SEDIMENTS
CALCIUM OXALATE CRYSTALS. BISCUIT-SHAPED.
THEY MAY BE CONFUSED WITH RED BLOOD
CELLS. PH 6.0, UNSTAINED, X400.
URINE SEDIMENTS
URIC ACID CRYSTAL. THEY APPEAR YELLOWBROWN IN COLOR. IN THIS EXAMPLE, LARGE
LENS-SHAPED CRYSTALS OVERLAP EACH OTHER.
PH 6.0, UNSTAINED, X400.
URINE SEDIMENTS
URIC ACID CRYSTAL. NOTICE THE YELLOW
COLOR AND VARIETY OF SHAPES. X400.
URINE SEDIMENTS
URIC ACID CRYSTAL, POLARIZED. X400.
URINE SEDIMENTS
CALCIUM PHOSPHATE CRYSTAL. THIS IS
WHITISH GRAY, IRREGULAR PLATE FORM. PH
8.0, UNSTAINED, X400.
URINE SEDIMENTS
TRIPLE PHOSPHATE CRYSTAL. COLORLESS
CRYSTALS CHARACTERIZED BY STRONG
BIREFRINGENCE AND ENVELOPE OR COFFIN
FORMS. PH 7.5, UNSTAINED, X400.
URINE SEDIMENTS
BILIRUBIN CRYSTALS. REDDISH BROWN, SHORT
NEEDLE-SHAPED CRYSTALS FORMING BUNDLES.
PH 6.5, UNSTAINED, X400.
URINE SEDIMENTS
CHOLESTEROL CRYSTALS. COLORLESS FLAT
PLATES WITH NOTCHED EDGES. A CASE OF
CYSTIC NEPHROPATHY. UNSTAINED.
URINE SEDIMENTS
CYSTINE CRYSTALS. HEXAGONAL PLATES. PH 5.5,
UNSTAINED, X400.
URINE SEDIMENTS
AMMONIUM BIURATE CRYSTALS. NOTICE THE
“THORNY APPLE” APPEARANCE, X400.
URINE SEDIMENTS
TYROSINE CRYSTALS. YELLOW COLOR SUGGESTS
LIVER DISEASE. X400.
URINE SEDIMENTS
SULFA CRYSTALS. ALSO SEEN ARE WBC’S AND
BACTERIA SUGGESTING A UTI. X400.
URINE SEDIMENTS
AMPICILLIN CRYSTALS. BUNDLES OF CRYSTALS
ARE SEEN AFTER REFRIGERATION. X400.
URINE SEDIMENTS
STARCH GRANULES. NOTICE THE REFRACTILITY.
X400.
URINE SEDIMENTS
NORMAL SPERMATOZOA. X400.
URINE SEDIMENTS
TRANSITIONAL CELL CARCINOMA CELLS. THE
CELLS APPEAR IN MASSES AND ARE MULTILAYERED. UNSTAINED, X400.
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.
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.
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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