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Automated instruments reduce workload in medical laboratories and can accurately identify most common urinary elements, but do not perform as well with unusual findings such as transitional and renal epithelial cells, abnormal casts and rare crystals. [95] Elements that can be observed on microscopic examination include:
Urine typically contains epithelial cells shed from the urinary tract, and urine cytology evaluates this urinary sediment for the presence of cancerous cells [2] [3] from the lining of the urinary tract, and it is a convenient noninvasive technique for follow-up analysis of patients treated for urinary tract cancers.
The most common type of cast, hyaline casts are solidified Tamm–Horsfall mucoprotein secreted from the tubular epithelial cells of individual nephrons. Low urine flow, concentrated urine, or an acidic environment can contribute to the formation of hyaline casts, and as such, they may be seen in normal individuals in dehydration or vigorous exercise.
The basal layer fosters the epithelial stem cells in order to provide constant renewal of the epithelium. [4] These cells' cytoplasm is rich in tonofilaments and mitochondria; however, they contain few rough endoplasmic reticulum. The tonofilaments play a role in the attachment of the basal layer to the basement membrane via desmosomes. [5]
Cystinosis is a rare genetic disorder [11] that causes an accumulation of the amino acid cystine within cells, forming crystals that can build up and damage the cells. These crystals negatively affect many systems in the body, especially the kidneys and eyes.
Bladder cancer is the abnormal growth of cells in the bladder.These cells can grow to form a tumor, which eventually spreads, damaging the bladder and other organs.Most people with bladder cancer are diagnosed after noticing blood in their urine.
Minimal change disease (MCD), also known as lipoid nephrosis or nil disease, among others, is a disease affecting the kidneys which causes nephrotic syndrome. [1] Nephrotic syndrome leads to the loss of significant amounts of protein to the urine (proteinuria), which causes the widespread edema (soft tissue swelling) and impaired kidney function commonly experienced by those affected by the ...
Podocytes make up the epithelial lining of Bowman's capsule, the third layer through which filtration of blood takes place. [1] Bowman's capsule filters the blood , retaining large molecules such as proteins while smaller molecules such as water , salts , and sugars are filtered as the first step in the formation of urine .