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The page below is a sample from the LabCE course The Urine Microscopic: Microscopic Analysis of Urine Sediment. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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Yeast can appear as single cells or in the budding form, as indicated by the arrow in the top image. The most common yeast found in urine is Candida albicans, which typically demonstrates budding forms. The presence of budding forms helps to distinguish yeast from RBCs when urine sediment is viewed microscopically.

Pseudohyphae may also be present. Pseudohyphae are chains of yeast cells that become elongated, bud only at one pole, and do not separate after division. A pseudohypha is indicated by the arrow in the bottom image.
Yeast can be found in the urine of patients with cystitis due to yeast or as a vaginal contaminant from patients with vaginal candidiasis.