American Journal of Kidney Diseases
Volume 51, Issue 6 , Pages 1052-1067 , June 2008

Urinalysis: Core Curriculum 2008

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Supplementary Figure S1 (JPEG)

Isomorphic erythrocytes some of which have a “crenated” appearance (arrows). Phase contrast microscopy, original magnification ×400.

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Supplementary Figure S2 (JPEG)

Different types of dysmorphic erythrocytes. Phase contrast microscopy, original magnification ×400.

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Supplementary Figure S3 (JPEG)

Acanthocytes or G1 cells with their typical shape (arrows). Phase contrast microscopy, original magnification ×400.

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Supplementary Figure S4 (JPEG)

Polymorphonuclear leukocytes with the typical granular cytoplasm and lobated nucleus. Phase contrast microscopy, original magnification ×400.

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Supplementary Figure S5 (JPEG)

“Oval fat bodies” or macrophages packed with lipid droplets. Phase contrast microscopy, original magnification ×400.

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Supplementary Figure S6 (JPEG)

The same particle as seen by polarized light. Note the Maltese crosses with symmetrical arms. Phase contrast microscopy, original magnification ×400.

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Supplementary Figure S7 (JPEG)

A granular macrophage (diameter about 50 μm). Phase contrast microscopy, original magnification ×400.

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Supplementary Figure S8 (JPEG)

Proximal renal tubular cells with round shape, large nucleus and granular cytoplasm. Phase contrast microscopy, original magnification ×400.

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Supplementary Figure S9 (JPEG)

Deep urothelial cells with their club-like appearance and large nucleus. Phase contrast microscopy, original magnification ×400.

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Supplementary Figure S10 (JPEG)

A clump of superficial transitional cells. Compared with the cells of the deep layers they are much larger. Phase contrast microscopy, original magnification ×400.

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Supplementary Figure S11 (JPEG)

Squamous cells with their irregular shape, a scarcely granular cytoplasm, and a small central nucleus. Phase contrast microscopy, original magnification ×400.

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Supplementary Figure S12 (JPEG)

A colorless hyaline cast with very well evident Tamm-Horsfall glycoprotein fibrils. Phase contrast microscopy, original magnification ×400.

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Supplementary Figure S13 (JPEG)

A hyaline-granular cast. Phase contrast microscopy, original magnification ×400.

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Supplementary Figure S14 (JPEG)

A finely granular cast. Phase contrast microscopy, original magnification ×400.

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Supplementary Figure S15 (JPEG)

A waxy cast with the typical “melted wax” appearance, irregular edges, and high refractive index. Phase contrast microscopy, original magnification ×400.

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Supplementary Figure S16 (JPEG)

A fatty cast with packed lipid droplets. Phase contrast microscopy, original magnification ×400.

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Supplementary Figure S17 (JPEG)

The same cast under polarized light. The lipid droplets show the typical Maltese crosses with symmetrical arms. Phase contrast microscopy, original magnification ×400.

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Supplementary Figure S18 (JPEG)

An erythrocyte cast. Phase contrast microscopy, original magnification ×400.

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Supplementary Figure S19 (JPEG)

A renal tubular epithelial cell (RTEC) cast with RTECs easily identifiable due to the large nucleus. Phase contrast microscopy, original magnification ×400.

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Supplementary Figure S20 (JPEG)

A hemoglobin cast with brownish hue and granular appearance, both due to the presence of degraded erythrocytes within the matrix of the cast. Phase contrast microscopy, original magnification ×400.

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Supplementary Figure S21 (JPEG)

A bilirubin cast with the typical yellow color. Phase contrast microscopy, original magnification ×400.

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Supplementary Figure S22 (JPEG)

An aggregate of rhomboidal uric acid crystal with their typical polychromatic birefringence under polarized light. Phase contrast microscopy, original magnification ×400.

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Supplementary Figure S23 (JPEG)

Birefringent amorphous urates. These are identical with amorphous phosphates, which do not polarize light and are found only in alkaline pH. Phase contrast microscopy, original magnification ×400.

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Supplementary Figure S24 (JPEG)

Ovoidal monohydrated calcium oxalate crystals, with their typical strong birefringence under polarized light. Phase contrast microscopy, original magnification ×400.

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Supplementary Figure S25 (JPEG)

Bihydrated calcium oxalate crystals with their typical bipyramidal appearance. Phase contrast microscopy, original magnification ×400.

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Supplementary Figure S26 (JPEG)

A star-like calcium phosphate crystal, birefringent under polarized light. Bright field microscopy, original magnification ×400.

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Supplementary Figure S27 (JPEG)

Two triple phosphate crystals with a typical “coffin-lid” appearance. The presence of bacteria confirms that these crystals are frequently associated with urinary infections. Phase contrast microscopy, original magnification ×400.

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Supplementary Figure S28 (JPEG)

A cholesterol crystal made up of plates heaped one upon another. Note the clear-cut edges and corners. Phase contrast microscopy, original magnification ×400.

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Supplementary Figure S29 (JPEG)

Cystine crystals heaped one upon another. Note the irregular hexagonal shape. Phase contrast microscopy, original magnification ×400.

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Supplementary Figure S30 (JPEG)

Amoxicillin crystals appearing as needles, “shocks of wheat” and “broom bush” strongly birefringent under polarized light. Bright field microscopy, original magnification ×400.

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Supplementary Figure S31 (JPEG)

Birefringent star-like crystals of ciprofloxacin. Phase contrast microscopy, original magnification ×400.

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Supplementary Figure S32 (JPEG)

An egg of Schistosoma hematobium with the typical terminal spike. Phase contrast microscopy, original magnification ×400.

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PII: S0272-6386(08)00584-2

doi: 10.1053/j.ajkd.2007.11.039

American Journal of Kidney Diseases
Volume 51, Issue 6 , Pages 1052-1067 , June 2008