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Urinalysis & Body Fluids

Urine crystals.

Urine crystals

This chart is adapted from the Polansky cards. It’s important to draw your own pictures of the crystals next to their descriptions (see the ones I drew). Drawing them yourself will force you to remember the fine details. You don’t have to draw them well, just make the attempt so it sticks in your mind.

draw crystals or someone will hurt you!!

Crystals in Alkaline Urine

  • Amorphous phosphates

    colorless, irregular granules

    forms white precipitate in bottom of tube

  • Triple phosphate

    coffin lids

  • Ammonium biurate

    yellow brown, thorny apples

  • Calcium carbonate

    dumbbell shapes

Crystals in Acidic Urine

  • Amorphous urates

    yellow-brown, irregular granules

    forms pink precipitate in bottom of tube

  • Uric acid

    very pleomorphic – often six sided

    birefringent; polarizes light

  • Calcium oxalate

    octahedral, envelope form

    major part of kidney stones

  • Leucine

    yellow, oily looking spheres with radial striations

    associated with liver disease

  • Tyrosine

    spheres consisting of fine yellow needles

    associated with liver disease

  • Cystine

    colorless, six-sided plates

    unlike uric acid, this doesn’t polarize light

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