The Revision Guide for Student Nurses (Part I)

Crystals & Casts - Key Notes

Name Shape Urine pH Seen in cases of: Breeds predisposed:
Struvite (Magnesium ammonium phosphate or triple phosphate)
Orthohombric (coffin-lid)
Alkaline
Staphylococcal infection
Miniature Schnauzer.

The most common crystal in cats
Calcium carbonate
Spheroids
Alkaline
Only seen in horses, rabbits, guinea pigs & goats
N/A
Calcium phosphate
Amorphous or thin long prisms (may aggregate as rosettes or needles)
Alkaline or neutral
May form in conjunction with calcium oxalate or in association with infection induced struvite crystalluria
N/A
Calcium oxalate dihydrate
Envelopes or octahedral
Acidic or neutral, but may form in alkaline urine
May arise from ethylene glycol (anti-freeze) poisoning
N/A
Calcium oxalate monohydrate
Spindles, hemp seed or dumbbells
Acidic or neutral, but may form in alkaline urine
May arise from ethylene glycol (anti-freeze) poisoning
N/A
Cystine
Hexagonal
Acidic or neutral, occasionally alkaline
Poss inherited defect of the renal tubules or associated with the metabolic disorder cystinuria
Bassett hound, Bull mastiff, Dachshund, Pekinese
Leucine
Spheroids with radial & concentric laminations
Only Acidic
May occur as a result of acute hepatic damage
N/A
Bilirubin
Needles or granules (red-brown)
Only acidic
Indicative of an abnormality in bilirubin metabolism
N/A
Ammonium urate
Spherulites, thorn apples
All
Seen in dogs with portal vascular abnormalities
Dalmatian, Bulldog, Yorkshire terrier