The presence of crystals is called crytalluria. The type of crystal that forms, depends on the pH of the urine. Other factors include urine concentration,

Slides:



Advertisements
Similar presentations
Introduction to Urinalysis
Advertisements

Urinalysis and Body Fluids CRg
1 Case History year-old female patient. Asymptomatic UA during a physical exam. Rapid Chemistry SG = pH = 6.0 Blood, Protein, Glucose, & Leukocyte.
Examination of Urine (physical properties & normal constituents)
The Excretory System Chapter 44. What you need to know! Different waste products, which animal groups produce each, and why. The components of a nephron,
Objectives 30.4 The Excretory System
URINE SEDIMENTS DEPARTMENT OF PATHOLOGY AND LABORATORY DIAGNOSIS
Lecture 8b 24 February 2014 Renal Disease Kidney stones Affect about 50,000 Canadians each year Mostly males over the age of 20 years.
Renal Block Kidney Stones Dr. Usman Ghani.
Physical Examination of Urine
BY: CAROLINE WEBSTER How are kidney stones formed.
WRITE THE INFORMATION BELOW IN YOUR NOTES: I can identify the organs and describe the function of the Excretory System.
Urinalysis and Body Fluids CRg
RENAL CALCULI.
Crystallization in the Body. rock salt diamond snowflake.
Table of Contents Function Slide 3 Major organ Slide 4 Systems connected Slide 6-7 Levels of organization Slide 8 The work of organs Slide 5 Diseases.
THE EXCRETORY SYSTEM. What Stuff Is Pair of kidneys ◦ Retroperitoneal Pair of ureters Urinary bladder Urethra.
Performing the Urinalysis
URINALYSIS Finding the Clues Hidden in Urine
Urinary System 2 metabolic wastes 1.CO 2 2.Urea. Urea Contains Nitrogen (N) wastes given off by cells. Nitrogen wastes are toxic Liver collects these.
Urinalysis and Body Fluids CRg Unit 2; Session 5 Crystals Found in the Urine Microscopic Examination - Part C, Common Alkaline Crystals.
Write the information below in your notes:
Obstructive Uropathy Dr Rodney Itaki Lecturer Anatomical Pathology Discipline University of Papua New Guinea School of Medicine & Health Sciences Division.
An introduction to Urinalysis as performed in the Clinical Laboratory.
A Retrospective Study of Canine Bladder Stone Recurrence while using a Preventative Prescription Diet INTRODUCTION Canine Bladder Stones (Uroliths) 2 main.
Excretion: removal of cellular wastes (Carbon dioxide, water, salt, nitrogenous wastes)
Urolithiasis Go Go Go Go. Afflictions of the Urinary Tract 1.Urinary Tract Infections 2.Pathologic conditions of the prostate 3.URINARY CALCULI.
CLS 426 Day 2 Questions Ricki Otten, MT(ASCP)SC
Crystals.
Alex Wiemann.  The excretory system gets rid of nitrogenous (and other) wastes.  It also regulates the amount of water and ions in body fluids.
It ’ s not just water ! An introduction to Urinalysis as performed in the Clinical Laboratory.
RENAL CALCULI.
PROTEINURIA PROTEINURIA  Urine dipstick  Sulfosalicylic acid test 0=(0 mg/dl)0=(0 mg/dl) Trace=(1to 10 mg/dl)Trace=(1to 10 mg/dl) 1+ =(15to 3o mg/dl)1+
KAU-Faculty of Science- Biochemistry department Clinical biochemistry lab (Bioc 416) 2012 Lecturer: Nouf Alshareef
Urine Sediment Case Studies
Identification of Normal Physical and Chemical Urine Constituents
Lab 4 Renal Calculi.
Lecture 8b 7 March 2011 Renal Disease Kidney stones Affect about 50,000 Canadians each year Mostly males over the age of 20 years.
--The primary function of the urinary system is maintain fluid balance and remove liquid waste from the body… Urine: Is the liquid waste material produced.
URINALYSIS LAB 1.
Urea and Uric Acid Excretion, Urine Composition by: Rachel Kim.
Physical Examination of Urine
Urinalysis Unit 5 Chapter 29 Urine Sediment Analysis Copyright © 2015 by Mosby, an imprint of Elsevier Inc. All rights reserved.
Kidney function tests Dr. Eva A Ajaj.
Finding the Clues Hidden in Urine
RENAL CALCULI.
Disorders of the Urinary System
Finding the Clues Hidden in Urine
UROLITHIASIS IN DOGS.
Urolithiasis.
Kidney Stones Renal Block 1 Lecture.
Renal Block Kidney Stones Dr. Usman Ghani.
Performing the Urinalysis
KIDNEY STONES By: Reem M Sallam, MD, MSc, PhD
The Excretory System.
HUMAN EXCRETORY SYSTEM.
Dr Kushma Nand Renal Physician
How do we detect PEDs?.
Finding the Clues Hidden in Urine
Finding the Clues Hidden in Urine
The Excretory System.
Finding the Clues Hidden in Urine
The Renal System.
Finding the Clues Hidden in Urine
The Excretory System.
Finding the Clues Hidden in Urine
Urinalysis.
Finding the Clues Hidden in Urine
Presentation transcript:

The presence of crystals is called crytalluria. The type of crystal that forms, depends on the pH of the urine. Other factors include urine concentration, temperature, and the solubility of the elements.

Refrigeration of samples can either increase or decrease the number of crystals in the sample. The materials that make up crystals are less soluble at lower temperatures. Sometimes crystals dissolve when a refrigerated sample is warmed to room temperature.

Struvite crystals are also referred to as triple phosphate crystals. They are found in alkaline to slightly acidic urine. Struvite crystals are prisms with tapering sides and are described as resembling a coffin. These are the most common type of crystal that you will identify.

How a stone is formed: Urea is a component excreted in the the urine. If infected with bacteria, the bacteria digests the urea and breaks it down into ammonia. Ammonia is toxic to the cells of the bladder wall causing inflammation. Proteins are released to form a matrix which the crystals use to form a stone.

The general rule in dogs is : No infection No stone

85% of canines with struvite stone occurrence occurs in females. Predisposed breeds include beagle, schnauzer and cocker spaniels. The average age for stone occurrence is 2 ½ years.

Magnesium ammonium phosphate

Calcium oxalate dihydrate crystals appear as small squares containing an X. Calcium oxalate monohydrate may be shaped like a dumb bell or they may be elongated and pointed at each end, resembling a picket fence slat.

Calcium oxalate crystals are formed in acidic and neutral urine and may be seen in small numbers normally in dogs. The urine of animals poisoned with ethylene glycol often contains large numbers of the monohydrate crystals.

Large numbers of calcium oxalate crystals seen in the urine may indicate a predisposition to oxalate urolithiasis.

73% of canines affected by calcium oxalate crystals and stones are male. Breeds predisposed include, schauzer, lhasa, yorkie, poodle, shih tzu, bichon. The average age is 5 – 12 years

Calcium oxalate stones can not be dissolved by diet and must be surgically removed. 50% of animals who undergo cystotomy sx will redevelop stones within 3 years.

Calcium phosphate crystals assume various forms including the rosette and pointed finger forms. They appear most often in alkaline urine.

Uric acid crystals appear yellow to yellow brown. The most common shapes seen are diamond, rhomboid or rosettes. These crystals are very uncommon in small animals but are seen in dalmations.

We eat purines when we eat meat and drink them when we drink coffee and our livers convert them ultimately into something called “Allantoin” which is readily soluble in water and easy for us to unload in that waste/water mixture known as urine. Dalmatians just cannot seem to convert uric acid to allantoin; the process described above never gets past the uric acid stage. Dalmatian liver cells simply cannot absorb uric acid which is where the conversion to allantoin ought to take place. Dalmatians must excrete uric acid in their urine and the problem is that the stuff just is not that water soluble. Being unable to convert uric acid to allantoin is the main predisposing factor to uric acid stone formation and accounts for why 80% of uric acid bladder stones come from Dalmatians.

Ammonium urate crystals are seen in slightly acidic, neutral and alkaline urine. The shape of these crystals is called the “thorn apple” These crystals are not common but are frequently observed in dogs with portal vascular anomalies. Common breeds are Dalmations and English Bulldogs

Cystine crystalluria is not a normal phenomenon. These crystals may develop in animals with metabolic disorders

Cholesterol crystals are seen in the center of this field with squamous epithelial cells on either side. Cholesterol crystals are found in acid or neutral urine. They appear as regular or irregular transparent plates. They may occur singly or in large numbers. Usually one or more corners are cut off or notched, justifying their description as "stair step crystals". They are not commonly seen and are always considered pathological. They can be found in various renal diseases.

Tyrosine crystals are not normally found in urine. They are products of protein metabolism and appear in urine of animals with tissue degeneration or necrosis (acute liver disease) They are present only when urine is acid. They are colorless to yellowish brown, needle shaped crystals and have a fine silky appearance. The needles may be single or arranged in sheaves or rosettes. Tyrosine crystals usually appear in urinary sediment together with leucine crystals

Leucine crystals are not normally found in urine They appear in urine in association with tyrosine and are manifestations of the same clinical conditions. When found, leucine crystals are in acid urine in the form of spheroids with concentric striations. They are dense, highly refractive and appear as yellowish brown bodies.

Cystotomy :