Nutrition of OCD for my Nutritional Neuroscience Class
Commonly renal diseases associated with urine elements/Kridsada31
1. Commonly Renal Diseases
associated with urine elements
Kridsada Sirisabhabhorn, M.MT.
Division of Cilnical Microscopy and Parasitology, Medical Technology
Laboratory, Thammasat Charlermprakiet Hospital
Pathumtani, Thailand
July 12th 2013
2. Clinical guide line on urine strip
• Color : DI, Hepatic disease, GM, GN
• Sp.gr. : DI, RTN
• pH : Calculi, Stone
• Leuk. : Bacterial infection / Immune ?? / Allergy
• Protein : GM, GN, NS, RF, Sperm
• Nitrite : Bacterial infection
• Glucose : DM
• Ketone : DM, MS
• Bilirubin : Hepatic disease
• Urobilinogen : Large intestinal disorder
• Erythrocyte : Inflammation, bleeding, GM, GN, CA
3.
4. Major groups of commonly renal
disease
1. Cystitis / Urethritis
2. Pyelonephritis
3. Uroliths / Renal calculi / Nephroliths
4. Glomerulonephritis [GN]
5. Nephrotic syndrome [NS]
6. Renal failure [RF] & End stage of renal failure
7. Renal tubular necrosis [RN]
8. Carcinomas / Malignant or Tumor
9. Neurogenic bladder disorder
10. Disorder associated with hepatic diseases
11.Polycystic kidney disease
11. 5. Nephrotic syndrome [NS]
• Etiology
GM, GN, DM, hypertension, SLE, Drugs, CA
• Symptom & appearance
Edema, shortness of breath, High
BUN, Creatinine, K+, Heavy proteinuria, Low level of
serum albumin, urine cloudy, GFR
• Microscopic finding
**Oval fat body, Fatty cast, Cholesterol
crystal** many hyaline cast, High count of
RBCs, WBCs and Casts.
Remaining long term of NS can progress to
end stage renal disease.
13. 6. Renal Failure [RF]
• Etiology
Long term standing of kidney disease
• Microscopic finding
Telescopic urine sediment with Broad waxy
cast and very low of GFR value [< 15]
High level of BUN & Creatinine
15. 8. Neoplasm / CA / Tumor
• Etiology : Diversity factors
• Appearance : Urine bloody
• Microscopic finding
- Abnormal cell presented in atypical
morphology ex. Glandular, Ball, Signet ring
formation etc.
- Should be report that “Abnormal cell
found
16. 9. Neurogenic bladder disorder
• Etiology
Bladder nerve or spinal cord damaged
• Appearance
Urinary incontinence
Difficultly to control urine flowing
• Microscopic finding
Some case found spermatozoa
17. 10. Hepatic disease
• Etiology
Ex. expose hazard chemical or toxic agent
congenital
hepatitis virus
bile obstruction or entero hepatic tract obstruction
etc.
• Appearance : Bilirubinuria, Urobilinogenuria, Dark yellow or
Brown urine color
• Microscopic finding
Bilirubin, Leucine crystal, bilirubin
granule, hemosiderin granule, pigment cast, bile cast, bilirubin
cast
Often, appear with many count of renal tubular
epithelial and renal epithelial cast.
19. 1. Polycystic kidney disease : Hematuria
2. Pyelonephritis : Wbc casts & caudate cells
3. Renal calculi : Isomorphic rbc & crystal
4. Tubular necrosis [TN] : Renal epthelial cast & renal epithelial
5. Glomerulonephritis : Dysmorphic rbc & rbc cast
6. Nephrotic syndrome : Oval fat bodies, fatty cast & cholesterol
crystal
7. Renal failure [RF] : Broad granular, Broad waxy and waxy cast with
telescopic urine sediments
8. Neoplasm of kidney : Abnormal cells, maybe with sheet cause of
over cell perforation.
9. Cystitis : Numerous of wbc and bacteria, but no cast present.
Conclusions of clinical specific urine elements with
major types of kidney diseases
20. Reference
• Manual of training in Urinalysis : Intergration
and Validation of Laboratory Results by Assis.
Prof. Dr. Yupin Aniwatangkoora and Assoc.
Prof. Dr. Nattaya Sae-ung. Faculty of
Associated Medical Sciences, Khon Kaen
University, Thailand
