https://www.vetsurgeon.org/f/clinical-questions/17344/urine-sediment-cytology Today I saw a 10y6m FN Bassett Hound that has been having problems with incontinence that has got worse over the past couple of weeks. When she gets up out of bed she urinates, and dribbles after urinating on walks. NAD on CE, temp normal. Suggesteden-USTelligent Community 10https://www.vetsurgeon.org/thread/103327?ContentTypeID=1Fri, 20 Dec 2013 14:48:34 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:91b4699c-6a76-4b38-89e5-80fe3c5e5e22Anthony Dennison<p>Preliminary report back from Idexx - lots of RBCs, even more WBCs. No epithelial cells seen...</p> <p>Awaiting cytopathology report.</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/103136?ContentTypeID=1Wed, 18 Dec 2013 18:22:03 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:797c7d96-f64b-4132-8a91-c3f26e2142b8John Flynn<p>[quote user=&quot;Anthony Dennison&quot;]</p> <p>Possibly, my cytology skills aren&#39;t fantastic (hence the practice), but I saw some epithelial cells as well and they looked different to what I thought were plasma cells? Limited books with pictures to look at too.</p> <p>My colleague that is good with cytology is going to have a look at the slides tomorrow so she&#39;ll probably agree with you!</p> <p>[/quote]</p> <p>You get quite a lot of variation in epithelial cells when there&#39;s cystitis ongoing - I remember when I started out years ago thinking every case with binucleation was a possible transitional cell carcinoma.... (they weren&#39;t!)</p> <p>You spotted the rods - that&#39;s the biggie to me and I&#39;d do fresh inhouse sediment in a week&#39;s time if you&#39;re in any doubt (or wanting to learn more from the case) and see the defference ur abs have made.</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/103134?ContentTypeID=1Wed, 18 Dec 2013 18:15:40 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:e9682eac-5ed2-4b7c-8ce6-ebf338eb7a45Anthony Dennison<p>Possibly, my cytology skills aren&#39;t fantastic (hence the practice), but I saw some epithelial cells as well and they looked different to what I thought were plasma cells? Limited books with pictures to look at too.</p> <p>My colleague that is good with cytology is going to have a look at the slides tomorrow so she&#39;ll probably agree with you!</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/103131?ContentTypeID=1Wed, 18 Dec 2013 18:07:17 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:536ae191-f120-4cb7-ac8d-0626437d19f2John Flynn<p>[quote user=&quot;Anthony Dennison&quot;]Sediment is full of rods, platelet clumps, and what appear to be lymphocytes and plasma cells, with the occasional large lymphoblast.[/quote]</p> <p>I&#39;m not questioning your sediment interpretation... well actually I am I suppose... but I&#39;m doubting platelet clumps and large lymphoblasts...</p> <p>Common things are common.</p> <p>If you have large numbers of rods in a freshly collected and examined specimen then that&#39;s hard to confuse with anything else and is entirely consistent with a bacterial UTI in a symptomatic patient.</p> <p>So given that... I&#39;m guessing that the large lymphblasts are epithelial cells and platelet clumps are cellcular casts.</p> <p>If you put a digital camera up to the microscope we can play a game before the idexx report comes back <img src="https://www.vetsurgeon.org/emoticons/v2/Winking_smiley.gif" alt="Wink" /></p><div style="clear:both;"></div>