DIAG 2735 3 - Routine Urinalysis

DIAG 2735 3 - Routine Urinalysis - Specimen Collection...

Info iconThis preview shows pages 1–16. Sign up to view the full content.

View Full Document Right Arrow Icon
Specimen Collection
Background image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Collection Methods Random catch Midstream catch Midstream clean catch Catheterization Suprapubic asperation
Background image of page 2
Routine Urinalysis Screens for kidney and urinary tract disease, helps detect systemic or metabolic diseases Elements of Routine Urinalysis Physical exam Chemical exam Microscopic exam
Background image of page 3

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Physical exam Color Should be yellow or straw color Clarity Should be clear (read text through specimen) Specific Gravity compared to water 1.005- 1.035
Background image of page 4
Sources of color change in Urine Red and Red-Brown Most common color change In women, menses must be considered Hematuria (blood in urine appears cloudy, smoky) Hemoglobinuria will be clear Myoglobinuria (indicates muscle injury) Eating beets
Background image of page 5

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Sources of color change in Urine Dark Brown or Black Acid urine containing hemoglobin Melanin (melanogens in acid specimen turn into melanin) Iron compounds which form iron sulfide (Rx) Methyldopa for HBP, Levodopa Parkinson’s Homogentisic acid (in alkaline specimen) called Alkaptanuria normal at voiding, turns black upon standing
Background image of page 6
Sources of color change in Urine Blue Rx Indigo carmine dye for cytoscopy Methylene blue (illuminates fistulas) Amitriptyline Indicans (small intestine infection) Chlorophyll (found in mouth washes) Pseudomonas infection
Background image of page 7

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Sources of color change in Urine Orange-Red and Orange-Brown Highly concentrated Urobilinogen (turns orange with acid specimen and light) Possible bilirubin Urinary analgesics (ethoxazene, phenazopyridine) Anticoagulant (phenidione) Sulfasalazine in alkaline urine (for ulcerative colitis)
Background image of page 8
Sources of color change in Urine Yellow-Brown or Green-Brown Bile pigments Mainly Bilirubin When shaken specimen exhibits yellow foam Concentrated specimens exhibit clear foam
Background image of page 9

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Clarity Examination Clear Cloudy Hazy Turbid
Background image of page 10
Clear Fingerprint You can hold the specimen up to light and read text while looking through the specimen Normal specimen is clear
Background image of page 11

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Cloudy Not necessarily pathologic Difficult to see through specimen Finger May be caused by amorphous sediments
Background image of page 12
Hazy Specimen is impossible to see through Tends to be sign of pathology Microscopic exam a must Leukocytes indicate disease of urinary tract Bacteria may also be present in significant amount to make specimen hazy
Background image of page 13

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Turbid Hazy with visible precipitates Blood clots Fecal material (from fistula) Clumps of pus Small calculi Mucus (lower urinary tract inflammation)
Background image of page 14
Chyluria Rare appearance of lymph in specimen Due to obstruction of lymph flow or rupture of lymph vessels in urinary system
Background image of page 15

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Image of page 16
This is the end of the preview. Sign up to access the rest of the document.

Page1 / 64

DIAG 2735 3 - Routine Urinalysis - Specimen Collection...

This preview shows document pages 1 - 16. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online