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48 Cards in this Set

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so dipsticks are more immediate



other stuff takes a while

k

urine microscopy


main to things it is used for

blood


crystals

after urinanalysis we can follow up with

microscopy and culture

what specific gravity suggest radiopaque contrast material

+1.04

which measurement better for urine conc. spec or urine osmal

urine osmolaltiy

what's normal random urine ph?


urine ph vs blood ph


which one has a wider range

4.5 - 8



urine

what's acidic urine range?

4.5 - 5.5

what's alkaline urine range?

6.5 - 8

just know acidid stones, rest are basic



3 acid

calcium oxalaate


uric acid


amphour urate

don't need to know specific drugs affect ph



look at that slide reail quic



vitamin c?

acidic

explain glucose thru glomelular

sugar goes thru and then reabsorbed in proximal

so when do you see glucose in urine

when glucose gets around +150 plus



when it is uncontrolled

so pt has diabetes and is around 140-150 glucose



in urine?

no

on test it would be obvious around 250 number



glucose in urine

k

pt comes in= urinalysis = + glucose =



either not contorled or other issues or dka

k

where a ketones formed?



is it usually in urine?

liver


no

when does it get in urine?



when carboyhrad metablism is altered



so ketones are form thru fat system

what kind of diet cases urine in ketones

high fat, low carb

examples of ppl with ketones in urine

dm


starva


anorexa


alchol

urine in protein is indicative offfff what kind of tdamage



rememebr



protein large and -



charge of damaged part is - and won't allow big parts

glomerual damage




also dimis tubular reabsoprtion

what causes transient, mild protien



asymsp

uti


postoural protine


acute illness


execers

so transient, mild protein can give



false positive how on high sg



false negative how on low sg

b/c it concentrat solution



b/c dilute, protine diluted



review this one more time

name 3 things you could see in blood urine

hematuria


myoglyuisn


hemogloiburs = free

hemogloiuburia usually seen due to

hemolyisis



hemolyist transfauison


xs bursn

what wil you see with myoglobiurins



occult blood?



rbc in microcsope?

+



no

a rapid indirect metod for detecting bacteri in the urine

urine nitrite

detects neutrophils (polys)



they release this

leukocye esterase

in diagnoistin uti, sensitive is 80 90 % compared to sensit of urine bacter culture

urine leucy estera

urine nitrite detects gram neg or pos



e coli is this

gram neg bacilli



cause most uti

urine nitirite test detet bacte at what conc.

100k

to detect nitritietes, more than 4 hrss must pas between voids of urine

k

so no nitries with G+



G+ like stap ,enterococous don't do this



so just b/c it nitries - doesn't mean no uti

k

which one more sensitive?



nitrite or leukocye esterase

leui ester

sensitv of leukocye esterase test increase if ntres also positive

k

okay


urine in bilurei



conjugated or unconjuguaed



doesn't that mean hemolyisis issue



what kind of issue

conjuecteg, b/c uncon isn't water soluble



no



hepatobillar diease

pt comes jaudni itchin



total bil is high


indirect bil is hig


direc bil is low



so we can have high biluribs with no bil in urine b/c indierecte

k

so if stuff abnorma in strip or test with dooo



read over circels slide

microscopic exams

rbc normal riange in urine

0-3

wbc



when is it considered pyuria

+5

abnormal number of wbc will show a + test of this

leukoctes esterase

when do you useually see sterile pyuria

pregnancy


steroid treatme


after antiboid


fungal infection

squmaou epitheil cells



diagnosits significance?

no

understand cast next level



more seiorus than regular cells

k

crystal only signific when detected inn

fresh urine

why fresh?

b/c cool tempe ppt crsyas = inaccutre

candid spec usually found in these 2 types of pts

diabte(yeast love sugar)



immunosuppresed

trihocma vangis mainly causse vaginal ifnectionct

k

do case study

k