Comprehensive Urinalysis and Urine Collection Techniques
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Questions and Answers

What specimen collection technique is recommended for testing urinary tract infection in adults?

Clean-catch technique

What warrants more invasive urine collection in febrile infants with suspected urinary tract infection?

The presence of leukocyte esterase or nitrites

What does urinary pH levels indicate?

Diet, metabolism, or the presence of stones

What does glucosuria often indicate?

<p>Uncontrolled diabetes mellitus</p> Signup and view all the answers

What should proteinuria on dipstick testing be followed by?

<p>A quantitative test such as a spot urine albumin/creatinine ratio</p> Signup and view all the answers

In patients with symptoms of a urinary tract infection, what is more specific for bacterial infection?

<p>The presence of nitrites</p> Signup and view all the answers

When is urine culture useful without symptoms of urinary tract infection?

<p>In pregnancy and preparation for endoscopic urologic procedures</p> Signup and view all the answers

What is a simple, inexpensive means of detecting urologic and systemic conditions?

<p>Urinalysis</p> Signup and view all the answers

What is an important diagnostic skill for family physicians?

<p>Familiarity with visual inspection of urine, dipstick testing, and point-of-care microscopy</p> Signup and view all the answers

When is follow-up urinalysis required for infants and children?

<p>When leukocyte esterase or nitrites are present in a urine collection bag urinalysis</p> Signup and view all the answers

What should be assessed in patients with urolithiasis to help determine the type of stone?

<p>Urinary pH</p> Signup and view all the answers

What should be used to confirm dipstick testing positive for blood?

<p>Microscopic analysis</p> Signup and view all the answers

What does the presence of nitrites in a symptomatic patient's urine strongly suggest?

<p>Urinary tract infection (UTI)</p> Signup and view all the answers

According to the Choosing Wisely Campaign, what should not be used to diagnose microhematuria?

<p>Results of one urine dipstick test (macroscopic urinalysis)</p> Signup and view all the answers

Before initiating a workup for hematuria or proteinuria, what should be done?

<p>Repeating an abnormal urine dipstick analysis</p> Signup and view all the answers

What should not be ordered in healthy, asymptomatic children as part of routine well-child examinations?

<p>Screening urinalysis</p> Signup and view all the answers

What does the presence of bilirubin and urobilinogen in urine suggest?

<p>Hepatobiliary disease or hemolysis</p> Signup and view all the answers

What does glucosuria often indicate?

<p>Uncontrolled diabetes mellitus</p> Signup and view all the answers

When should a urine collection bag specimen be used for infants with suspected urinary tract infection?

<p>For clinically stable febrile infants</p> Signup and view all the answers

What test should be used to confirm hematuria on dipstick testing in the office setting?

<p>Spun urine sample</p> Signup and view all the answers

When is the presence of nitrites more specific for bacterial infection in patients with symptoms of urinary tract infection?

<p>In symptomatic patients</p> Signup and view all the answers

What should proteinuria on dipstick testing be followed by for further evaluation?

<p>Quantitative test such as a spot urine albumin/creatinine ratio</p> Signup and view all the answers

What is the recommended specimen collection technique for testing urinary tract infection in infants and children?

<p>Clean urine collection by urethral catheterization or suprapubic aspiration</p> Signup and view all the answers

What should be used to confirm dipstick testing positive for blood?

<p>Microscopic analysis</p> Signup and view all the answers

What does glucosuria often indicate?

<p>Glucose in the urine, which may indicate diabetes or kidney disease</p> Signup and view all the answers

When is urine culture useful without symptoms of urinary tract infection?

<p>In pregnancy and preparation for endoscopic urologic procedures</p> Signup and view all the answers

What is a simple, inexpensive means of detecting urologic and systemic conditions?

<p>Urinalysis</p> Signup and view all the answers

What should proteinuria on dipstick testing be followed by?

<p>A quantitative test such as a spot urine albumin/creatinine ratio</p> Signup and view all the answers

What should not be ordered in healthy, asymptomatic children as part of routine well-child examinations?

<p>Screening urinalysis</p> Signup and view all the answers

What warrants more invasive urine collection in febrile infants with suspected urinary tract infection?

<p>The presence of leukocyte esterase or nitrites in a urine collection bag urinalysis</p> Signup and view all the answers

What does urinary pH levels indicate?

<p>The type of stone in patients with urolithiasis</p> Signup and view all the answers

In patients with symptoms of a urinary tract infection, what is more specific for bacterial infection?

<p>The presence of nitrites in the urine</p> Signup and view all the answers

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