The document describes different types of crystals that may appear in urine under a microscope, including both normal and abnormal crystals. It provides details on the appearance and characteristics of crystals like calcium oxalate, uric acid, cystine, cholesterol, and others. The document is intended as a reference for identifying crystals seen in urinalysis.
The document describes different types of crystals that may appear in urine under a microscope, including both normal and abnormal crystals. It provides details on the appearance and characteristics of crystals like calcium oxalate, uric acid, cystine, cholesterol, and others. The document is intended as a reference for identifying crystals seen in urinalysis.
The document describes different types of crystals that may appear in urine under a microscope, including both normal and abnormal crystals. It provides details on the appearance and characteristics of crystals like calcium oxalate, uric acid, cystine, cholesterol, and others. The document is intended as a reference for identifying crystals seen in urinalysis.
The document describes different types of crystals that may appear in urine under a microscope, including both normal and abnormal crystals. It provides details on the appearance and characteristics of crystals like calcium oxalate, uric acid, cystine, cholesterol, and others. The document is intended as a reference for identifying crystals seen in urinalysis.
Calcium Phosphate colorless, flat rectangular plates, thin prisms rosette formations which may be confused with sulfonamide Hippuric acid crystals Appear pointed but they usually appear in singles Not clinically significant
Uric acid (Monosodium Urates)
Seen in variety of shapes: rhombic, four-sided flat plates (whet stones), wedges and rosettes, barrel-shaped/lemon-shaped crystals, may also have six-sided hexagonal shape similar to cystine ‼ Yellow brown in color
Amorphous Phosphates White or colorless granules; lalo na pag na-refrigerate na
Na Urates and Acid Urates
Acid urates appear as large granules with spicules Sodium urates appear as needle-shaped and are seen in synovial fluid during episodes of gout If seen in urine, they appear slender prisms in fan-like manner and are called peacock-tail crystals
Triple Phosphate aka ammonium magnesium phosphate/struvite crystals colorless prism that resembles like coffin-lid
Calcium Oxalate o Dihydrate calcium oxalate (weddellite crystals) Colorless, octahedral, mukang envelope Two pyramids joined at their bases o Monohydrate calcium oxalate (whewhellite crystals) Oval or dumbbell shaped Ammonium Biurate Tyrosine yellow brown crystal with characteristic of thorny apples (spicule Colorless to yellow needles that forms clumps or rosettes covered spheres) Mukang walis
Leucine Yellow brown spheres that demonstrate concentric circles with radial striations; Scallop-lily crystal Calcium Carbonate colorless dumbbell/spherical shape crystals may appear in clumps that resembles amorphous materials napapagkamalang yeast cells
Bilirubin crystals Appear as clumped needles or granules with characteristic dark yellow color of bilirubin Should be accompanied with positive chemical test for bilirubin
Abnormal Crystals in Urine
Manner of reporting: average and reported/lpf Cystine Hexagonal plates; colorless and could be thick or thin Difficult to distinguish from uric acid
Miscellaneous/Iatrogenic Crystals Sulfonamide Crystals Rhombic, needles, whetstones, sheaves of wheat, rosettes ranging from colorless to yellow brown (may resemble calcium phosphate)
Cholesterol crystals Rectangular plates with notch in one or more corners Staircase pattern/stair step crystals/notched crystals
Ampicillin crystals Colorless needles in bundles AFTER REFRIGERATION
Radiographic dye crystals
Similar to cholesterol crystal and are also highly birefringent Blunt or smooth ang end kaysa kay cholesterol crystal
