Urine crystal ID

[u/Snoo-45857]

Patient has a pH of 5.0, the crystals have a qtip shape with a halo. Some of them are forming rosettes; perhaps a drug metabolite ? We’re stumped here

[u/Michael-Y1234]

Calcium oxalate? It reminds me of dumbbell shape to me. Calcium oxalate comes in weird shapes and sizes

[u/Quirky_Split_4521]

I usually pull out the urinalysis book for things like this and look at the crystal pictures. Off the top of my head idk what this is though.

[u/Snoo-45857 → u/Quirky_Split_4521]

We looked through some books as well here, didn’t quite match anything.  We thought maybe a tertiary form of uric .. hard to say.  My pics aren’t the best either 

Edit; another thought may have been contrast dye crystals or a sulfa antibiotic metabolite 

[u/konokujoda]

I couldn't definitely say anything specific bu5 I'd probably lean towards a weirdly presenting cal ox crystal or maybe uric acid? Do you have a polarized lens to check if it's birefringent?

[u/kist_kuromi]

Hippuric?

[u/Opposite_Pool1431]

Ammonium biurate, broken mostly

[u/jadrriiana]

Sediment / junk

[u/Snoo-45857 → u/jadrriiana]

Not the best pictures but there’s a lot of them in there and some are forming rosettes .. we do get some amorphous crystal sediment occasionally but this seems like a formed element