29/07/2025
URINE MICROSCOPY
Simple Microcopy results and some issues that may bring about them.
1. *WBC (White Blood Cells)*: Presence of WBCs can indicate a Urinary Tract Infection (UTI), pyelonephritis, or interstitial nephritis. Significant bacteriuria often accompanies WBCs.
2. *RBC (Red Blood Cells)*: RBCs in urine can be due to:
- *Glomerular causes*: Glomerulonephritis, IgA nephropathy
- *Non-glomerular causes*: Kidney stones, tumors, infections (UTI, pyelonephritis), trauma, or medications like cyclophosphamide.
3. Epithelial Cells (Ep.Cells): Presence can indicate:
- *Renal tubular damage* (if renal tubular cells are seen)
- *Contamination* (if squamous epithelial cells are predominant)
4. *TV (Trichomonas Vaginalis)*: Presence indicates a Trichomonas vaginalis infection, a sexually transmitted infection.
5. *Yeast*: Presence can indicate a fungal infection, especially in diabetic or immunocompromised patients.
6. *Casts*:
- *Hyaline casts*: Can be normal or seen in concentrated urine
- *Cellular casts (RBC, WBC)*: Indicate glomerulonephritis or pyelonephritis
- *Granular casts*: Suggest kidney damage or disease
- *Waxy casts*: Indicate chronic kidney disease
7. *Crystals*: Presence can indicate:
- *Kidney stones* (depending on the type of crystal)
- *Metabolic disorders* (e.g., cystinuria, oxalosis)
8. *Parasite*: Presence of parasites like Schistosoma haematobium eggs can indicate a parasitic infection..