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29 Cards in this Set

  • Front
  • Back
Name the three parts of a typical urinalysis.
Visual/macroscopic, chemical, microscopic
Where are squamous epithelial cells found in a urinalysis from?
The last 1/3 of the urethra
Explain what happens to urine values if a specimen is left open at room temperature for an extended period of time.
pH increases, cells and casts lyse, urobilinogen, bilirubin, ketones, and glucose all decrease
What does CCMS stand for and what is it?
Clean Catch Mid Stream is urine collection after the area has been sanitized and is taken during the middle of the stream.
What is polyuria?
Consistent excretion of an abnormally large amount of urine.
What is diuresis?
Any increase in the volume of urine.
What is anuria?
The absence of urine formation.
What is oliguria?
An abnormally small amount of urine.
What is hyposthenuria?
Urine with abnormally low specific gravity.
What is Isosthenuria and when is it seen?
Urine with a constant fixed specific gravity that is neither higher or lower than the protein content of plasma. It is seen in renal disease.
When using a urine dipstick on a urine with a pH greater than 6.5, what correction must be made to the specific gravity?
Add 0.005
What is the normal range for specific gravity?
1.001-1.035
What disease is associated with excretion of Bence-Jones protein?
Multiple Myeloma
What does clinitest test for and what is the classical name of the test procedure?
Glucose, Benedic's test
What are the four classical tube tests for ketones?
Legal's, Rothera's, Gerhardt's, and Hart's
Define a Ehrlich Unit.
~1mg/dl
What is the classical test to differentiate urobilinogen from porphilobiligen?
Watson-Schwarts
In what disease states are waxy casts seen?
chronic renal diseases, renal failure, diabetic nephropathy, malignant hypertension, and glomerulonephritis
What crystal looks like a "coffin lid"?
Triple phosphate crystals
Under polarized light what crystal has a "Maltese cross"?
Leucine crystals
What do WBC casts indicate?
Kidney inflammation
What crystal looks like an envelope?

(Squares with diagonal lines connecting opposite corners)
Calcium oxalate dihydrate crystal
What crystal looks like a flat hexagon?
Cystine
What reagent is used to confirm a positive strip protein test?
Sulfosalicylic acid
What reagent is used on multistix for urobilinogen?
para-dimethylaminobenzaldehyde
What two common substances can cause a false negative glucose?
Aspirin and Vitamin C
What can cause a false positive leukocyte?
Bleach contact
What does ictotest test for?
Bilirubin
What are two non-pathologic causes of abnormal urine coloration?
Medication and food