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48 Cards in this Set
- Front
- Back
so dipsticks are more immediate
other stuff takes a while |
k |
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urine microscopy main to things it is used for |
blood crystals |
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after urinanalysis we can follow up with |
microscopy and culture |
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what specific gravity suggest radiopaque contrast material |
+1.04 |
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which measurement better for urine conc. spec or urine osmal |
urine osmolaltiy |
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what's normal random urine ph? urine ph vs blood ph which one has a wider range |
4.5 - 8
urine |
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what's acidic urine range? |
4.5 - 5.5 |
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what's alkaline urine range? |
6.5 - 8 |
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just know acidid stones, rest are basic
3 acid |
calcium oxalaate uric acid amphour urate |
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don't need to know specific drugs affect ph
look at that slide reail quic
vitamin c? |
acidic |
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explain glucose thru glomelular |
sugar goes thru and then reabsorbed in proximal |
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so when do you see glucose in urine |
when glucose gets around +150 plus
when it is uncontrolled |
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so pt has diabetes and is around 140-150 glucose
in urine? |
no |
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on test it would be obvious around 250 number
glucose in urine |
k |
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pt comes in= urinalysis = + glucose =
either not contorled or other issues or dka |
k |
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where a ketones formed?
is it usually in urine? |
liver no |
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when does it get in urine?
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when carboyhrad metablism is altered
so ketones are form thru fat system |
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what kind of diet cases urine in ketones |
high fat, low carb |
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examples of ppl with ketones in urine |
dm starva anorexa alchol |
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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 |
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what causes transient, mild protien
asymsp |
uti postoural protine acute illness execers |
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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 |
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name 3 things you could see in blood urine |
hematuria myoglyuisn hemogloiburs = free |
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hemogloiuburia usually seen due to |
hemolyisis
hemolyist transfauison xs bursn |
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what wil you see with myoglobiurins
occult blood?
rbc in microcsope? |
+
no |
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a rapid indirect metod for detecting bacteri in the urine |
urine nitrite |
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detects neutrophils (polys)
they release this |
leukocye esterase |
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in diagnoistin uti, sensitive is 80 90 % compared to sensit of urine bacter culture |
urine leucy estera |
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urine nitrite detects gram neg or pos
e coli is this |
gram neg bacilli
cause most uti |
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urine nitirite test detet bacte at what conc. |
100k |
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to detect nitritietes, more than 4 hrss must pas between voids of urine |
k |
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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 |
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which one more sensitive?
nitrite or leukocye esterase |
leui ester |
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sensitv of leukocye esterase test increase if ntres also positive |
k |
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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 |
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so if stuff abnorma in strip or test with dooo
read over circels slide |
microscopic exams |
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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 |
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when do you useually see sterile pyuria |
pregnancy steroid treatme after antiboid fungal infection |
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squmaou epitheil cells
diagnosits significance? |
no |
|
understand cast next level
more seiorus than regular cells |
k |
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crystal only signific when detected inn |
fresh urine |
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why fresh? |
b/c cool tempe ppt crsyas = inaccutre |
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candid spec usually found in these 2 types of pts |
diabte(yeast love sugar)
immunosuppresed |
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trihocma vangis mainly causse vaginal ifnectionct |
k |
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do case study |
k |