Podcast
Questions and Answers
Which of the following best describes the primary function of urinary secretion?
Which of the following best describes the primary function of urinary secretion?
- To synthesize alkaloids and uric acid.
- To produce urobilin for pigmentation.
- To eliminate final products of nitrogen metabolism and maintain hydroelectrolytic balance. (correct)
- To regulate the production of creatinine.
A urine sample for routine urinalysis, aimed at detecting abnormalities and/or examining sediment, necessitates a complete 24-hour urine collection.
A urine sample for routine urinalysis, aimed at detecting abnormalities and/or examining sediment, necessitates a complete 24-hour urine collection.
False (B)
What are the three main components of a comprehensive urinalysis?
What are the three main components of a comprehensive urinalysis?
Physical examination, biochemical examination, and urinary sediment examination
The normal pH range for urine in adults is between ______ and 6.5.
The normal pH range for urine in adults is between ______ and 6.5.
Match each component of urine analysis with its purpose:
Match each component of urine analysis with its purpose:
Crystal precipitation in urine can lead to which of the following conditions?
Crystal precipitation in urine can lead to which of the following conditions?
Which of the following is NOT typically assessed during the physical examination of urine?
Which of the following is NOT typically assessed during the physical examination of urine?
The concentration of analytes in urine can be accurately determined using only qualitative or semi-quantitative methods performed on a random urine sample.
The concentration of analytes in urine can be accurately determined using only qualitative or semi-quantitative methods performed on a random urine sample.
Which of the following conditions is NOT typically associated with poliuria?
Which of the following conditions is NOT typically associated with poliuria?
Anuria is defined as urine excretion greater than 500ml in 24 hours.
Anuria is defined as urine excretion greater than 500ml in 24 hours.
What is one reason urine may appear turbid upon initial production?
What is one reason urine may appear turbid upon initial production?
The presence of ______ in urine might cause it to foam when agitated.
The presence of ______ in urine might cause it to foam when agitated.
Match the cause with the corresponding effect on urine production:
Match the cause with the corresponding effect on urine production:
A urine sample exhibits a reddish or pinkish sediment. Which type of precipitation is most likely causing this?
A urine sample exhibits a reddish or pinkish sediment. Which type of precipitation is most likely causing this?
Adding acid to a urine sample will always dismiss all types of turbidity
Adding acid to a urine sample will always dismiss all types of turbidity
Which condition is most likely to cause urine to have a high basis pH?
Which condition is most likely to cause urine to have a high basis pH?
Which urine color might indicate the presence of blood?
Which urine color might indicate the presence of blood?
The standard color of urine is blue.
The standard color of urine is blue.
What condition is suggested by off-white urine?
What condition is suggested by off-white urine?
A urine color of dark yellow-orange is often associated with few ______ or fever.
A urine color of dark yellow-orange is often associated with few ______ or fever.
Match the urine color with its possible association:
Match the urine color with its possible association:
Golden or brown urine, that shows a dark yellow or brown foam when shaken, suggests the presence of what condition?
Golden or brown urine, that shows a dark yellow or brown foam when shaken, suggests the presence of what condition?
Standard urine is expected to have a strong, pungent odor.
Standard urine is expected to have a strong, pungent odor.
What scent would most likely indicate the presence of acetone?
What scent would most likely indicate the presence of acetone?
A urine sample with a fruity odor may indicate the presence of which substance, and what condition might this suggest?
A urine sample with a fruity odor may indicate the presence of which substance, and what condition might this suggest?
A urine sample left at room temperature for an extended period is likely to become more acidic due to the decomposition of urea into ammonia.
A urine sample left at room temperature for an extended period is likely to become more acidic due to the decomposition of urea into ammonia.
What condition is typically indicated by a urine density greater than 1.025?
What condition is typically indicated by a urine density greater than 1.025?
A urine sample with a putrid odor may suggest the presence of an ______.
A urine sample with a putrid odor may suggest the presence of an ______.
Match the following pH indicator dyes with their corresponding color change:
Match the following pH indicator dyes with their corresponding color change:
What does a low urine density (e.g., 1.010) typically indicate?
What does a low urine density (e.g., 1.010) typically indicate?
How does the concentration of hydrogen ions relate to the pH value of a solution?
How does the concentration of hydrogen ions relate to the pH value of a solution?
A pH value less than 7 indicates an alkaline solution.
A pH value less than 7 indicates an alkaline solution.
What methods are used to measure urine density?
What methods are used to measure urine density?
A urine density result of less than 6 should raise suspicion of diluted urine.
A urine density result of less than 6 should raise suspicion of diluted urine.
In reactive strips for urine analysis, the poli-electrolyte with an indicator at pH reacts based on the concentration of ______ in the urine.
In reactive strips for urine analysis, the poli-electrolyte with an indicator at pH reacts based on the concentration of ______ in the urine.
Besides kidney issues, what other factor should be considered when a patient's urine analysis results are abnormal?
Besides kidney issues, what other factor should be considered when a patient's urine analysis results are abnormal?
What does omsolalidad relate to and what is measured in adults?
What does omsolalidad relate to and what is measured in adults?
Match the following urine tests/measurements with their primary indication or purpose:
Match the following urine tests/measurements with their primary indication or purpose:
Which of the following best describes the primary function of pH measurement in the context of nephron activity?
Which of the following best describes the primary function of pH measurement in the context of nephron activity?
What is the widespread method used for biochemical examination of urine in routine laboratories and emergency departments?
What is the widespread method used for biochemical examination of urine in routine laboratories and emergency departments?
A urine pH of 9 is considered within the normal range.
A urine pH of 9 is considered within the normal range.
Reactive strips offer high specificity in urine analysis.
Reactive strips offer high specificity in urine analysis.
Name three acids that nephrons can process, influencing urine pH.
Name three acids that nephrons can process, influencing urine pH.
Urine pH varies between 4 and 8, but the normal range is close to 5 and 6, indicating a slightly ______ condition.
Urine pH varies between 4 and 8, but the normal range is close to 5 and 6, indicating a slightly ______ condition.
Match the following factors with their likely effect on urine pH:
Match the following factors with their likely effect on urine pH:
The determination of urinary pH uses three indicators that react with what?
The determination of urinary pH uses three indicators that react with what?
What does acidic urine generally indicate?
What does acidic urine generally indicate?
According to the content, serum tests are less effective than urine tests at indicating health.
According to the content, serum tests are less effective than urine tests at indicating health.
Flashcards
Urine
Urine
Biological fluid from kidneys, excreted via the urinary tract. Contains urea, creatinine, salts, pigments, and other substances.
Normal daily urine volume in adults
Normal daily urine volume in adults
700 to 1500 ml
Normal urine density
Normal urine density
1.005 to 1.030
Normal urine pH
Normal urine pH
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Function of Urinary Secretion
Function of Urinary Secretion
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Urine Analysis (Urinalysis)
Urine Analysis (Urinalysis)
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Physical Examination of Urine
Physical Examination of Urine
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Biochemical Examination of Urine
Biochemical Examination of Urine
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Poliuria
Poliuria
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Oliguria
Oliguria
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Anuria
Anuria
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Urine Turbidity
Urine Turbidity
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Salts in Urine
Salts in Urine
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Reddish/Pink Urine Sediment
Reddish/Pink Urine Sediment
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Piuria
Piuria
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Urine Color Variations
Urine Color Variations
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Standard Urine Color
Standard Urine Color
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Dark Urine
Dark Urine
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Dark Yellow/Orange Urine
Dark Yellow/Orange Urine
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Off White Urine
Off White Urine
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Red Urine
Red Urine
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Blue/Green Urine
Blue/Green Urine
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Black Urine
Black Urine
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Normal Urine Scent
Normal Urine Scent
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Odorless Urine
Odorless Urine
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Ammoniacal Urine Odor
Ammoniacal Urine Odor
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Putrid Urine Odor
Putrid Urine Odor
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Fruity Urine Odor
Fruity Urine Odor
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High Urine Density
High Urine Density
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Low Urine Density
Low Urine Density
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Urinary Density
Urinary Density
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Factors Increasing Urine Density
Factors Increasing Urine Density
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Urine Density Measurement
Urine Density Measurement
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Osmolality
Osmolality
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Normal Urine Osmolality (Adult)
Normal Urine Osmolality (Adult)
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Urine Osmolality and Kidney Health
Urine Osmolality and Kidney Health
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Reactive Strips (Urinalysis)
Reactive Strips (Urinalysis)
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Reactive Strip Determinations
Reactive Strip Determinations
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Strip Sensitivity vs. Specificity
Strip Sensitivity vs. Specificity
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Urine pH Significance
Urine pH Significance
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Importance of Correct Urine Testing
Importance of Correct Urine Testing
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Factors Affecting Urine pH
Factors Affecting Urine pH
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Urinary pH Definition
Urinary pH Definition
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Normal Urine pH Range
Normal Urine pH Range
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Urine pH Test Principle
Urine pH Test Principle
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Acidic Urine Causes
Acidic Urine Causes
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Clinical Use of Urine pH
Clinical Use of Urine pH
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Study Notes
Urine Analysis Introduction
- Urine is a biological fluid produced in the kidneys and excreted via the ureters, bladder, and urethra.
- Normal adult urine volume ranges from 700 to 1500 ml per 24 hours, with a density between 1.005 and 1.030, and a pH between 5.0 and 6.5.
- Urine analysis (urianalysis) is an essential procedure to diagnose kidney, metabolic, and urinary tract disorders.
- A urine analysis may include physical examination, biochemical analysis, and microscopic examination of the urinary sediment.
Physical Urine Examination
- A physical examination of urine includes assessing its appearance (clarity), color, density, pH, osmolality, and diuresis over a 24-hour period.
- Normal urine color is yellow-amber varying in intensity, due to urobilin.
- Volume of urine excreted in 24 hours is called diuresis.
- Normal urine volume varies on fluid intake, though the kidney maintains the body’s hydric balance.
- Polyuria is the excretion of urine of superior volumes to average, with the volume surpassing 2,000 ml/24 h
Microscopic Urine Test
- Recent urine is clear and transparent, cloudiness can be due to various reasons:
- Suspended salts
- White sediment indicates phosphates and carbonates
- Red sediment indicates urates
- Pus in the urine (Pyuria)
- Turbidity doesn't dissipate following sedimentation, acidification, or heating due to pyuria, also, it occurs with basic pH from the breakdown of urea and generation of ammonia due to urease.
Urine Color Alterations
- Incolor urine is caused by low concentration levels or dilution of urine
- Yellow/greenish/brown/ dark orange urine, a sign of ictericia caused by bilirubin with a thick brownish foam.
- Dark yellow or orange colored urine means concentrated urobilin for example, from fever
- Red urine comes from hematies/hematuria with transparent hb, while myoglobin leads to a turbid hemoglobinuria
- Blue/greenish colored urine occurs with use of certain medications or after asparagus ingestion.
Factors Affecting Urine Density
- Normal urine density ranges between 1.003 and 1.030
- If urine density is >1.025, it may represent dehydration, diabetes mellitus, cardiac insufficiency, or adrenal insufficiency.
- If the value is <1.010, a patient may be going through diuretic use or renal disease
Factors Affecting Urine Odor
- Normal fresh urine is odorless or has a slight ammoniacal smell.
- Pútrido aroma: infection
- Ammoniacal: infection after a long time being stored
- Fruity: presence of acetone
Biochemical Urine Examination
- Analyte presence can signify abnormal or altered physiological states.
- Analytes include glucose, proteins, ketone bodies, bilirubin, hemoglobin, porphyrins, drugs, etc.
- Urine is collected over a specific time frame to quantitatively analyze excreted substances.
- Pre-analytical conditions, the analysis stages are important (collection, reception, transport, etc).
Microbiological Urine Culture
- Purpose is to confirm a urinary infection, including agent quantification and antibiogram
- Routinely uses a single urine sample
- Quantitative tests, such as a 24-hour urine sample are needed when measuring substance concentration
Determining Urine pH
- Determines body's acid-based condition.
- Test relies on some indicators that alter shade with hydrogen ions.
- Normal oscillating values: 4.6-8 with 5.5-6.5 normally but diet can affect it.
- Higher level of protein in diet causes acid urine
Additional Important Info
- Proteinuria: emission by the kidney of excessive protein.
- Glycosuria: urine glucose, which can result from Cushing's syndrome.
- Ketonuria: excretion elevated ketone quantities, associated with acidosis.
- Hematuria: is when a urine sample tests positive for blood.
- Bilirubinuria: presence of bilirubin.
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