Monosodium Urate Crystals (Gout)
Needle-like crystals that can be seen in synovial fluids of patients with gout.
Can be differentiated from pseudo-gout with a polarizing microscope. Monosodium Urate crystals are yellow when parallel to the axis and blue when perpendicular, opposite of calcium pyrophosphate.

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Polarizer Axis
















Calcium Pyrophosphate Crystals (Pseudo-Gout)
Typically small rhomboid, square, or rodlike crystals. Can be seen in synovial fluid of patients with pseudogout.
Can be differentiated from true gout with a polarizing microscope. Calcium pyrophosphate is blue when parallel to the axis and yellow when perpendicular, opposite of monosodium urate crystals.

Cholesterol Crystals
Cholesterol crystals have a notched plate appearance and are birefringent. Lipid droplets may also be visible, appearing as Maltese crosses under polarized light.
Can be seen in patients with rheumatoid arthritis.

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