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24 Cards in this Set

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Changes in unpreserved urine: pH

Increase- bacterial conversion of urea to ammonia

Changes in unpreserved urine: ketones

Decrease- volatization

Changes in unpreserved urine: bilirubin

Decrease- photo oxidation to biliverdin

Changes in unpreserved urine: urobilinogen

Decrease- oxidation to urobilin

Changes in unpreserved urine: nitrite

Increase- bacterial conversion of dietary nitrate

Changes in unpreserved urine: blood cells

Decrease- lysis/ disintegration

Changes in unpreserved urine: casts

Decrease- disintegration esp in dilute and alkaline urine

Changes in unpreserved urine: bacteria

Increase exponentially

Changes in unpreserved urine: trichomonads

Decrease- loss of characteristic motility and death

Urine specific gravity

1.002- 1.035

Red urine

Blood, beet ingestion acid urine of genetically disposed individuals, Senna

Red purple urine

Porphyrins-excessive oxidation of colorless porphyrinogens and porphobilinogen to colored compounds caused by improper handling and storage of these specimens

Brown urine

Myoglobin- rhabdomyolysis. Methemoglobin- oxidized hemoglobin. Metronidazole (Flagyl) medication for trichomoniasis, giardia, amebiasis, darkens the urine

Dark brown to black urine

Melanin- oxidized melanogen develops upon standing, associated w malignant melanoma. Homogenistic acid- inherited- alkaptonuria in alkaline urine

Blue or green urine

Pseudomonas infection. Indican infection. Methylene blue dye. Chlorophyll. Amitripyline (antidepressant) indomethican (Indocin)

Colorless to pale yellow urine

Fluid ingestion, polyuria due to diabetes mellitus or diabetes insipidus

Yellow urine due to

Normal pigment urochrome, uroerythrin and urobilin

Dark yellow to amber urine

Concentrated- excessive urobilin

Bilirubin in urine

If shaken, foam is yellow

Dark yellow- green urine

Biliverdin - greenish coloration due to bilirubin that oxidized to biliverdin upon standing or improper storage

Orange urine

Carotene- food, phenazopyradine (Pyridium, Azo-Gantrisin) Warfarin (Coumadin- anticoagulant), Rifampin (TB)

Bright yellow urine

Riboflavin

Yellow brown urinePink urine

Nitrofurantoin- antibiotic

Pink urine

Blood, oxidized porphobilinogen; associated with acute intermittent porphyria