Urinalysis - The Carter Center

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* Knowing the origin of the epithelial cells and reporting it, may have
more meaning when requested by the physician for special
purpose, especially by the urologists.
Clinical implication
Presence of epithelial cells in large number, mostly renal types may
indicate:
- Acute tubular damage
- Acute glomerulonephritis
- Silicate over dose
* The presence of large number of epithelial cells with large number
of Leukocytes and mucus trades (filaments) may indicate Urinary
Tract Infections (UTI).
Reporting of the result:
• Epithelial cells distribution reported after looking under 10x (low
power objective) of the microscope.
• Usually they are reported semi quantitatively by saying
- Occasional epithelial cells /LPF ……1-3 epithelial cells seen in
the whole LPF
- Few epithelial cells / LPF...........……......... 2-4 epithelial / LPF
- Moderate epithelial cells / LPF..……........ 6-14 epithelial / LPF
- Many epithelial cells / LPF.............……... 15-25 epithelial/ LPF
- Full of epithelial cells / LPF..............……...when the whole field
of 10 x objective covered by epithelial cells.
Interfering factors
• Squameous epithelial cells from female patients that shade from
vaginal area (together with vaginal discharge) may give false result
of high epithelial cells.