Microscopic Examination of Urine Sediment

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The page below is a sample from the LabCE course The Urine Microscopic: Microscopic Analysis of Urine Sediment [retired 6/23/2016]. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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Microscopic Examination of Urine Sediment

The sediment may be examined using both brightfield and phase-contrast microscopy. With the brightfield microscope, subdued light must be used. Some structures will be missed if there is too much light in the field. Fine focus throughout the examination to identify structures in different focal planes.

Scan the slide on low power for quantification of casts, crystals and elements that are present in only a few fields. Use high power to identify casts and count red blood cells, white blood cells and epithelial cells.