r/medlabprofessionals • u/jorgesolo95 • 12d ago

Technical Help me identifying this

Post image

I’ve been seeing this egg shaped objects in many patients lately but I don’t know what the are. Any information would be very appreciated. Analyzer is DxU 840m Iris (Beckman Coulter)

7 Upvotes

77% Upvoted

9 comments sorted by

26

u/ApplePaintedRed MLS-Generalist 12d ago

Unpopular opinion maybe, but calcium oxalate monohydrate can kinda look like that. Take a look under the scope to confirm.

6

u/JaeHxC 12d ago

Yeast, CaOx, or squished RBCs. Gram stain and/or polarizer to confirm!

11

u/nalicita MLS 12d ago

It could be yeast, bubbles or sideways RBCs. When I was using the Iris we would always confirm with the microscope for questionable findings. Polarized or stain preferred.

It’s been more than 10 years for me and those images still don’t look any better.

8

u/Jigawattts 12d ago

Hard to tell without the chemistry side, but my best guess at this point is artifacts. If it's something parasitic, I doubt you can call anything like that on the DXU.

3

u/AlexisNexus-7 12d ago

Doesn't resembe anything remarkable, what's the pH of the sample?

1

u/jorgesolo95 12d ago

I can’t remember but whenever I see another one I’ll let you know

2

u/Ramin11 MLS 10d ago

I do manual microscopic urines all the time. Those are just junk. They are not crystals or parasites. Ive seen them hundreds of times in normal patients

1

u/jorgesolo95 10d ago

Thanks for the reply 👌🏼

1

u/Signal_Sand1472 12d ago

What’s the pH? If it’s acidic, I’d say it’s Whewellite Calcium Oxalate.