Page 386 - The Veterinary Laboratory and Field Manual 3rd Edition
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Clinical chemistry  355


                  Pus cells (white cells) may also be found in   urine (urolithiasis) can be more severe in cases
                urine sediment (pyuria), these are predomi-  of bladder damage with associated infection
                nantly polymorph leukocytes (neutrophils)   (cystitis) and changes in urine pH.
                which have migrated from the blood. They have   Spermatozoa are often found in urine and
                a nucleus with several segments. As pus cells are   this is quite normal in male, or recently mated
                broken down and destroyed in the urine, their   or inseminated female animals. Trichomonas pro-
                nuclei may disappear and only the cell mem-  tozoa can be seen in urine contaminated with
                branes remain. A few pus cells are often found in   preputial or vaginal discharges from infected
                free-caught urine samples from healthy animals.   animals. If there are any motile protozoa in the
                Because of this, it is usual to take a number   urine, they are almost certainly Trichomonas sp.
                below which it is said to be normal, and above   Microorganisms are frequently seen in free-
                which it is said to be abnormal. Ten pus cells   caught urine. Bacteria found in samples taken by
                per microlitre is a common figure to take. Less   cystocentesis or catheterization are more likely
                than 10 pus cells per microlitre are thought to   to be significant. Like all very small things, bac-
                be normal. More than 10 pus cells per microli-  teria are only seen clearly in stained preparations
                tre are thought to be abnormal and to indicate a   examined microscopically using a high power or
                urinary tract infection. This is only a guide, but   oil immersion objective. Many urinary bacteria
                it is a useful one.                      are motile. Bacteria often grow in urine if it is
                  Epithelial cells are large flat cells with a   left to stand in a warm room and commonly
                nucleus that can usually be seen quite easily.   get into the sample from a dirty container or as
                They come from the epithelium on the inside of   contaminants from the skin. Finding bacteria in
                the ureters, bladder and urethra. Epithelial cells   old urine therefore means little. When signifi-
                are usually single but sheets of several epithelial   cant bacteria are seen in fresh urine there will
                cells are sometimes seen. Sometimes epithelial   usually also be pus cells and protein present to
                cells are found in normal urine, but if present   indicate inflammation. In some samples, there
                along with large numbers of red blood cells and   may be yeasts or the mycelia of fungi (these are
                pus cells this is abnormal and indicates damage   longer and thicker than a bacterium, and they
                to the urinary tract.                    branch). Some objects in urine debris may not
                  When urine is formed in the kidney all the   be significant but it is important to be familiar
                chemicals in it are in solution. After it has   with their appearance, for example, a small bub-
                left the kidney, some of these chemicals may   ble of air, bits of debris, pieces of cotton thread
                form a urinary deposit. Sometimes they form   and scratches on the slides are commonly seen
                small solid granules without any special shape.   (Figure 7.13).
                Deposits of this kind are said to be amorphous
                (without shape). These deposits are very com-
                mon. Often, however, these chemicals, as they   7.10  Toxicology
                become solid, take on the shape of crystals.
                When seen from above some crystals are square   Judit E Smits
                with a cross on them like an envelope. These   There are a wide range of natural and man-made
                are oxalate crystals. Other kinds of crystal are   compounds that are potentially toxic to animals.
                shown in Figure 7.13. The shape of the crystals   Numerous types of plants, toxins produced by
                often tells us what they are made of, but crystals   algae, and fungi that contaminate grain are
                in the urine are seldom significant unless they   among the naturally occurring elements that can
                irritate the bladder lining. Crystal formation in   affect livestock and domestic animals. Generally,







       Vet Lab.indb   355                                                                  26/03/2019   10:26
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