問題一覧
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Term refering to presence of crystals in urine
CRYSTALLURIA
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Formed by precipitation of urinary solutes
URINE CRYSTAL
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Urine crystals are formed by precipitation of urinary solutes such as
ORGANIC COMPOUND, SALT, MEDICATION
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Factors that contribute to crystal formation
TEMPERATURE, SOLUTE CONCENTRATION, pH, URINE FLOW RATE
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Appears as white crystals due to temperature
AMORPHOUS PHOSPHATE
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Appears as pink crystals due to temperature
AMORPHOUS URATE
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Inorganic compounds are less soluble in what solution
ALKALINE
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Organic compounds are less soluble in what solution
ACIDIC
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Normal crystals manner of reporting
SEMI QUANTITATIVE/HPF
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Abnormal crystals manner of reporting
AVERAGE/LPF
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Crystal form due to the precipitation of urine salts that appears as brick dust or small yellow brown granules resembling sand commonly seen in refrigerated specimen
AMORPHOUS URATE
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Specific ph where amorphous urate crystals commonly seen
>5.5
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Ways to dissolve amorphous urate crystal
ROOM TEMPERATURE, ACETIC ACID
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Crystals seen in acidic urine that form due to increase in food rich in oxalic acid
CALCIUM OXALATE
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Formation of calcium oxalate in the renal calculi
CLUMP
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Two forms of calcium oxalate crystals
DIHYDRATE, MONOHYDRATE
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Most c'mon form of calcium oxalate crystal also known as__which is colorless octahedral envelope or as two pyramids joined at their bases
DIHYDRATE, WHEDDELITE
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A form of calcium oxalate crystal also known as___ which is oval or dumbbell shape
MONOHYDRATE, WHEWELLITE
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These are sweet and tempting substance in which causes calcium oxalate monohydrate crystals in urine when taken
ETHYLENE GLYCOL, ANTIFREEZE
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Calcium oxalate crystals are commonly seen in urine when there is an increase of food intake rich in oxalic acid like
TOMATO, ASPARAGUS, ASCORBIC ACID
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DIHYDRATE, WHEDDELITE
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MONOHYDRATE, WHEWELLITE
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Urine crystals which appears as cigarette but in appearance
CALCIUM SULFATE
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Urine crystals which appears as yellow brown or colorless elongated prisms
HIPPURIC ACID
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HIPPURIC ACID
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Pleomorphic crystals (rhombic four sided flat plates (whetstone), wedges, and rosettes,) Yellow-brown or colorless crystals c'mon in gout
URIC ACID
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Increased amount of uric acid crystal is seen in
INCREASED LEVEL OF PURINE AND NUCLEIC ACID, LEUKEMIA PATIENT RECEIVING CHEMOTHERAPY, LESCH NYHAN SYNDROME, GOUT
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Condition in which uric acid appears as orange sand in diapers
LESCH NYHAN SYNDROME
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URIC ACID IN LESCH NYHAN SYNDROME
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URIC ACID
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Refractivity index of uric acid
BIREFRINGENT
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Preferred microscope of viewing uric acid
POLARIZING
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Large granules and may have spicules which resembles ammonium biurate in alkaline solution
ACID URATE
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Slender prisms arranged in fan or sheaf like structures that is common in gout
SODIUM URATE
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Shape of sodium urate crystals in synovial fluid
NEEDLE
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Granular Sand like crystals which is commonly seen in alkaline refrigerated urine samples. White precipitate
AMORPHOUS PHOSPHATE
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AMORPHOUS PHOSPHATE
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Yellow brown turny apple crystals seen in old specimen in which also can be associated with urea splitting bacteria and inadequate hydration
AMMONIUM BIURATE
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Refractivity index of ammonium biurate crystals
BIREFRINGENT
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Ammonium biurate crystals are dissolved in
ACETIC ACID HEATED TO 60C
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Colorless flat rectangular plates or thin prisms often in roset formations resembling sulfonamide crystals which is the common constituent of renal stones and calculi
CALCIUM PHOSPHATE, APATITE
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Two forms of calcium phosphate crystal
HYDROXYAPATITE, BRUSHITE
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Distinguishing characteristics of sulfonamide crystal against calcium phosphate crystal
NOT DISSOLVED IN DILUTE ACETIC ACID
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Basic calcium phosphate crystal which appears as wedge like or colorless
HYDROXYAPATITE
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Calcium hydrogen phosphate crystal which appears as irregular granular or flat shape
BRUSHITE
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CALCIUM PHOSPHATE, BRUSHITE
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Also known as____which appears as colorless prism shape or coffin lead and appears as a fern leaf when they disintegrate and can be associated with uti and constituent of renal calculi
STRUVITE, AMMONIUM MAGNESIUM PHOSPHATE, TRIPLE PHOSPHATE
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Small colorless dumbbell shape sometimes granular crystal seen in alkaline urine
CALCIUM CARBONATE
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The distinguishing characteristics of calcium carbonate after the addition of acetic acid
EFFERVESCENCE
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Rectangular plates with notched edges or staircase pattern crystals commonly seen in nephrotic syndrome
CHOLESTEROL
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Urine sediments commonly seen in nephrotic syndrome or lipiduria
OVAL FAT BODY, FATTY CAST, CHOLESTEROL CRYSTAL
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Cholesterol crystals are soluble in
CHLOROFORM, ETHER
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CHOLESTEROL
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Crystal associated with liver diseases
LEUCINE, TYROSINE, BILIRUBIN
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Fine colorless to yellow needles that frequently form clamps or sets crystals associated w/ liver disease commonly seen in inherited disorders of amino acid metabolism
TYROSINE
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Tyrosine crystals are usually seen in conjunction____in specimens with chemical test results positive for_____
LEUCINE CRYSTAL, BILIRUBIN
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Oily looking yellow brown spears with concentric circles and radial stations crystal associated with liver disease
LEUCINE
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Clump needles or granules with the characteristic yellow color of bilirubin crystal associated with liver disease
BILIRUBIN
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TYROSINE
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LEUCINE
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BILIRUBIN
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Crystals formed due to high concentration of solutes or reagent that could cause precipitation of solutes and it is commonly seen during medical treatment
IATROGENIC ORIGIN
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Colorless to yellow brown needles resembling 'sheaves of wheat' could also form in rosettes, arrowheads, petals, or round, seen in possible tubular damage and mistaken as calcium phosphate crystal
SULFONAMIDE
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Test used to differentiate sulfonamide from calcium phosphate crystal
LIGNIN TEST
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Reagent used in lignin test
25% HCL
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Positive result of lignin test
YELLOW DIAZO REACTION
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Colorless needles that form bundles after refrigeration caused by the precipitation of antibiotics following massive doses without adequate hydration
AMPICILLIN
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Slender feather like crystals that is due to antiviral drugs or indinavir
INDINAVIR
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Colorless hexagonal plates mistakenly as uric acid crystal due to cystinuria and cystinosis
CYSTINE
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A metabolic disorder that prevents reabsorption of system by the renal tubules
CYSTINURIA
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Disorder due to the accumulation of cystine in cells
CYSTINOSIS
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Select all Normal Crystals in Acidic Urine
AMORPHOUS URATE, CALCIUM OXALATE, CALCIUM SULFATE, HIPPURIC ACID, URIC ACID, ACID URATE, SODIUM URATE
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Select all Normal Crystals in Alkaline Urine
AMORPHOUS PHOSPHATE, AMMONIUM BIURATE, CALCIUM PHOSPHATE, TRIPLE PHOSPHATE, CALCIUM CARBONATE
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Select all AbNormal Crystals in Urine
CHOLESTEROL, SULFONAMIDE, AMPICILLIN