WHY IS IT DONE?
To check for a disease or infection of the urinary tract To check the treatments of conditions such as diabetes, kidney stones, UTI and kideny and liver diseases Part of a regular physical examination Measures - the number and variety of red and white blood cells -the presence of bacteria or other organisms -the presence of substances, such as glucose, that usually shouldn't be found in the urine -the pH, which shows how acidic or basic the urine is -the concentration of the urine
Cont
Odor Normal: slightly nutty Some diseases causes a change in the order, also consumption of certain food. E.g- E.coli bacteria infection can cause a foul odor and in diabetes or starvatin, theres a sweet or fruity odor
Specific gravity
pH Normal: 4.5-8 Alkaline- vomitting, kidney disease, UTI Acidic- Emphysema, uncontrolled diabetes, aspirin overdose, severe diarrhoea, dehydration, starvation or over consumption of alcohol
Cont
Protein Glucose Ketones
Bilirubin
Urobilinogen Nitrites Leukocyte esterase (WBC esterase)
Proteins
A protein urine test measures the amount of proteins, such as albumin, found in a urine sample.
Urine albumin; Proteinuria, Albuminuria Urine protein may be tested using a random sample of urine and a dipstick test, or it may require a 24-hour urine sample.
Why It's Done When kidney disease is suspected. Regular screening test. Normally, protein is not found in urine when a routine dipstick test is performed. This is because the kidney is supposed to keep large molecules, such as protein, in the blood and only filter out smaller impurities. Even if small amounts of protein do get through, they are normally reabsorbed by the body and used as a source of energy. Some proteins will appear in the urine if the levels of protein in blood become high, even when the kidney is functioning properly. If the kidney is diseased, protein will appear in the urine even if blood levels are normal.
Proteins. cont
Normal Values 0 to 8 mg/dL. For a 24-hour urine collection, the normal value is less than 150 mg per 24 hours What Abnormal Results Mean? Amyloidosis Bladder tumor Congestive heart failure Dehydration Diabetic Nephropathy Glomerulonephritis Heavy metal poisoning Malignant hypertension Multiple myeloma Nephrotic syndrome Damage to the kidneys from certain drugs (nephrotoxic drugs) Polycystic kidney disease Urinary tract infection
Glucose
The glucose urine test measures the amount of sugar (glucose) in a urine sample. The presence of glucose in the urine is called glycosuria or glucosuria. Commonly used to screen for diabetes Normal Values: nil What does abnormal values/ increased values mean: -Diabetes Mellitus, Adrenal gland problem, liver damage, brain injury - glucose release from the kidneys into the urine (renal glycosuria) -Pregnancy (normal) Note:- not very accurate as urine is stored in bladder for hours before it is taken for testing
Pus Cells
Medical term : Pyuria
Probably the most common occurrence of pyuria can be attributed to the existence of a urinary tract infection.
In pyruria, pus cells/ HPF (high power field) Males: 5-8 Females: upto 10
Identified after centrifuge and sedimentation Normal Values: nil Other indications: - pyelonephritis, urethratitis, uretitis, cystitis,... - culture must be done to rule out infection.
Medicines, such as diuretics, erythromycin, trimethoprim (Trimpex), or high doses of vitamin C (ascorbic acid) taken with an antibiotic, such as tetracycline.
Having an X-ray test with contrast material in the past 3 days. Not getting urine sample to lab in 1 hour. Note:-If an abnormal result is found during a urine test, more tests may be done, such as a urine culture, X-ray of the kidneys (intravenous pyelogram [IVP]), or cystoscopy.