Urine Atlas Errata Jan 2019

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Color Atlas of the Urinary Sediment:

An Illustrated Field Guide Based on


Proficiency Testing (PUB219)
Errata: First printing

Page 66
Urinalysis in the Diagnosis of Urinary Tract Infection
Second paragraph.
Second sentence was: The standard for urinary tract infections of >105 CFU/mL of urine is based upon the work of
Kass who, in 1955, demonstrated that over 95% of patients with pyelonephritis had bacteriuria levels of less than
105 CFU/mL of urine. This should be greater than.

Page 242
Ammonium/Magnesium Phosphate (Triple Phosphate)
Vital Statistics
pH was listed as between 6.2 and 7.0. pH should be 7.5 or greater.

Page 256
Calcium Oxalate
Vital Statistics
pH was listed as <5.4. pH should be ≤7.0.

Page 289
Hippuric Acid
Distinguishing Hippuric Acid from Other Crystals
The graphic below contained some incorrect information on solubility. The information has been corrected.

Distinguishing Hippuric Acid from Other Crystals


The crystal to the left is a uric acid crystal that
mimics the elongated hexagon of a hippuric acid
crystal or possibly a triple phosphate crystal. Ad-
ditional tests are sometimes needed to separate
them. Uric acid and hippuric acid are usually seen
in acidic urine and triple phosphate in neutral or
alkaline urine. Hippuric acid crystals are soluble in
hot water, alkali, alcohol and ether. Uric acid crys-
tals are soluble in hot water and 10% NaOH. Triple
phosphate crystals are soluble in dilute acetic acid.

Hippuric acid crystals can mimic uric Hippuric acid and


acid and triple phosphate crystals. uric acid crystals are
Uric acid crystals, unlike hippuric acid, insoluble in acetic acid,
are insoluble in ether and are sparingly unlike triple phosphate
soluble in water. crystals.

Updated January 2019

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