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Urines and Smears

Urines and Smears. Alan Cheng UNC Medicine Upper Level Conference 7/15/09. Epithelial cell. Above, clue cell. Below, normal. Transitional cell. http://www.medicine.uiowa.edu/cme/clia/modules.asp?testID=20. Normal RBC’s. Normal RBC’s. Crenated RBC’s from elevated SG or PH.

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Urines and Smears

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

  2. Epithelial cell Above, clue cell. Below, normal. Transitional cell http://www.medicine.uiowa.edu/cme/clia/modules.asp?testID=20

  3. Normal RBC’s Normal RBC’s Crenated RBC’s from elevated SG or PH. Dysmorphic RBC’s (mickey mouse) http://www.medicine.uiowa.edu/cme/clia/modules.asp?testID=20 http://www.agora.crosemont.qc.ca/urinesediments/Imdoceng/d13d001.htm

  4. B – yeast, C - RBC Mixed bacteria trichomonad http://www.medicine.uiowa.edu/cme/clia/modules.asp?testID=20

  5. Hyaline casts WBC cast RBC cast Granular cast vs WBC cast http://www.med.illinois.edu/internalMed/residency/edmod/mod1/casts.htm; http://www.agora.crosemont.qc.ca/urinesediments/Imdoceng/d19d002.htm

  6. RBC casts WBC cast http://www.meddean.luc.edu/lumen/MedEd/MEDICINE/PULMONAR/Renal/Atlas/urineatlas_f.htm

  7. Calcium oxalate Cysteine stones Uric acid crystals Triple phosphate or Struvite Calcium oxalate http://meded.ucsd.edu/isp/1994/im-quiz/urine.htm

  8. sperm cotton http://meded.ucsd.edu/isp/1994/im-quiz/urine.htm

  9. Triple phosphate Uric acid http://www.meddean.luc.edu/lumen/MedEd/MEDICINE/PULMONAR/Renal/Atlas/urineatlas_f.htm

  10. A = renal tubular cell B = WBC oval fat body A = renal tubular cell B = oval fat body http://meded.ucsd.edu/isp/1994/im-quiz/urine.htm http://www.meddean.luc.edu/lumen/MedEd/MEDICINE/PULMONAR/Renal/Atlas/urineatlas_f.htm

  11. Now on to heme…

  12. Normal smear lymphocyte Plasma cell

  13. http://www.healthsystem.virginia.edu/internet/hematology/hessidb/normal-hematopoietic-cells.cfmhttp://www.healthsystem.virginia.edu/internet/hematology/hessidb/normal-hematopoietic-cells.cfm neutrophil Monocyte Basophil Neutrophil and eosinophil

  14. reticulocyte http://www.healthsystem.virginia.edu/internet/hematology/hessidb/normal-hematopoietic-cells.cfm

  15. Acanthocyte (spur cell) • Liver disease • Asplenia • Echinocyte (burr cell) • (Liver or) Renal disease http://www.healthsystem.virginia.edu/internet/hematology/hessidb/normal-hematopoietic-cells.cfm

  16. Howell Jolly bodies Basophilic Stippling Pappenheimer bodies Nucleated RBC http://www.healthsystem.virginia.edu/internet/hematology/hessidb/normal-hematopoietic-cells.cfm

  17. Auer Rods, AML M3 Malaria http://www.healthsystem.virginia.edu/internet/hematology/hessidb/normal-hematopoietic-cells.cfm

  18. Heinz body Rouleaux (stack of coins) http://www.healthsystem.virginia.edu/internet/hematology/hessidb/normal-hematopoietic-cells.cfm

  19. spherocyte elliptocyte http://www.healthsystem.virginia.edu/internet/hematology/hessidb/normal-hematopoietic-cells.cfm

  20. schistocyte Teardrop cell Sickle cells http://www.healthsystem.virginia.edu/internet/hematology/hessidb/normal-hematopoietic-cells.cfm

  21. Target cell – increase in membrane:volume ratio • Asplenia • Thalassemia • Hemoglobinopathies • Liver disease • Iron deficiency http://www.healthsystem.virginia.edu/internet/hematology/hessidb/normal-hematopoietic-cells.cfm

  22. normal macrocytosis Microcytic, hypochromic http://www.healthsystem.virginia.edu/internet/hematology/hessidb/normal-hematopoietic-cells.cfm

  23. Thanks

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