PHYSICAL EXAMINATION OF URINE

Jef Marc Valencia · 73問 · 2年前

通報

問題一覧

What are the things that are examined in urine physical examination

VOLUME, COLOR, CLARITY, TURBIDITY, ODOR, SPECIFIC GRAVITY

Disease which the kidneys excrete increased amounts of water to remove the dissolved glucose

DIABETES MELLITUS

Disease in which the water needed for adequate body hydration is not reabsorbed

DIABETES INSIPIDUS

What hormone is the problem when there is a diabetes mellitus

INSULIN

What hormone is the problem when there is a diabetes insipidus

ANTI DIURETIC HORMONE

In DM, Sp. Gravity is

INCREASED

In DI, Sp. Gravity is

DECREASED

Sp. Gravity is expected to be__ in darker urine color

INCREASED

This correlates w/ specific gravity during urine physical examination

URINE COLOR

Examination of specimen urine color is through under ___looking down through the container against a________

GOOD LIGHT SOURCE, WHITE BACKGROUND

Enumerate the normal urine colors

STRAW, PALE YELLOW, LIGHT YELLOW, YELLOW, DARK YELLOW, AMBER

These are responsible for the urine color

UROCHROME, UROERYTHRIN, UROBILIN

This is the major pigment or urine color which imparted as yellow

UROCHROME

A pigment of urine color which production is directly proportional to metabolic rate and excreted at a constant rate as a product of endogenous metabolism

UROCHROME

Urochrome pigment in urine may increased in what conditions

THYROTOXICOSIS, FEVER, FASTING

This pigment in urine may deposit in amorphous urates and uric acid crystals that imparts pink color in urine

UROERYTHRIN

What color do urobilin imparts when urine is not fresh

ORANGE BROWN

This is the oxidation product of urobilinogen which imparts dark yellow to orange color in urine

UROBILIN

What is the cause of colourless urine

RECENT FLUID CONSUMPTION

What is the cause of pale yellow urine

POLYURIA, DILUTE RANDOM SPECIMEN

What is the cause of dark yellow urine

CONCENTRATED SPECIMEN, STRENUOUS EXERCISE, FIRST MORNING SPECIMEN, CAROTENE

What is the cause of amber urine

DEHYDRATION, FEVER, BURN

What is the cause of orange urine w/ yellow foam

BILIRUBIN

This drug causes viscous urine w/ orange foam

PHENAZOPYRIDIN

This drugs causes orange colored urine

ACRIFLAVIN, NITROFURANTOIN, PHENINDIONE

This causes yellow green urine

BILIVERDIN

This causes yellow brown urine

BILIRUBIN

This drug causes orange w/ green fluorescent urine

ACRIFLAVIN

This causes green urine

PSEUDOMONAS INFECTION

This drugs causes blue green urine

AMITRIPTYLINE, METHOCARBAMOL, CLOET, METHYLENE BLUE, PHENOL, CHLOROPHYLL

This causes pink or red urine

BEET, MENSTRUAL CONTAMINATION, RIFAMPIN

This causes Burgundy or purplish red in urine

PORPHYRIN

This causes brown black color in acidic urine

METHEMOGLOBIN

Pink red urine maybe caused by a condition ____which refers to as muscle disintegration

RHABDOMYOLYSIS

This is a condition which the urine becomes pink or red with a cloudy or smoky clarity due to the presence of rbcs

HEMATURIA

A condition which results from the in vivo breakdown of RBCs causingh red plasma after centrifugation

HEMOGLOBINURIA

A condition in which resulting from breakdown of skeletal muscles causing clear plasma after urine centrifugation

MYOGLOBINURIA

What should be the turbidity of a red pink urine that needs centrifugation for accurate reading

CLEAR

A treatment for Parkinson's disease drug causes cola colored urine

LEVODOPA

Drug for treating giardiasis that causes yellow color urine

MEPACRINE

An anti hypertensive drug that causes green brown color urine

METHYLDOPA

An antibiotic drugs that causes reddish brown colored urine

METRONIDAZOLE

An analgesic drug for UTI which causes orange red color urine

PHENAZOPYRIDINE

An antibiotic drug that causes Bright orange red urine

RIFAMPIN

A drug that causes Bright yellow colored urine

RIBOFLAVIN

This refers to the transparency or turbidity of a urine specimen

URINE CLARITY

Urine clarity is evaluated by visually examining a mixed specimen in a ____while holding it in front of a _____ and viewed through a ________

CLEAR CONTAINER, LIGHT SOURCE, NEWSPAPER PRINT

Determine the clarity No visible particulates and transparent

CLEAR

Determine the clarity Few particulates, newsprint easily seen through urine

HAZY, SLIGHTLY CLOUDY

Determine the clarity Many particulates, newsprint is blurred through urine

CLOUDY

Determine the clarity Newsprint cannot be seen

TURBID

This urine clarity may precipitate or clot

MILKY

What are the causes of urine turbidity

PATHOLOGIC, NONPATHOLOGIC

A non pathologic cause of urine turbidity that is c'mon for females

SQUAMOUS EPITHELIAL CELL

Amorphous urates and phosphates

NONPATHOLOGIC

Vaginal cream

NONPATHOLOGIC

Semen

NONPATHOLOGIC

Fecal contamination

NONPATHOLOGIC

Radiographic Contrast Media

NONPATHOLOGIC

Talcum Powder

NONPATHOLOGIC

RBC and WBC

PATHOLOGIC

Bacteria w/ uniform turbidity not cleared by acidification or filtration

PATHOLOGIC

Yeasts that may imparts presence of glucose

PATHOLOGIC

Non squamous epithelial cell

PATHOLOGIC

Abnormal crystals

PATHOLOGIC

Lymph fluids and lipids

PATHOLOGIC

This refers to the presence of lymph fluid in urine

CHYLURIA

What is the normal urine odor

AROMATIC

Lack of odor in urine is caused by

ACUTE TUBULAR NECROSIS

Bacteria and UTI may cause urine odor to be

FOUL, AMMONIA LIKE

Ketones, DM, fasting and vomiting may cause the urine odor to be

FRUITY, SWEETISH

Ingestion of asparagus, garlic, eggs and onions may cause urine odor to be

MERCAPTAN, PUNGENT

Recto vesical fistula may caused urine odor to be

FECALOID

Urine contamination may caused the odor to be

BLEACH

Maple syrup urine odor is caused by what disease

MAPLE SYRUP URINE DISEASE

This causes urine to be mousy in odor

PHENYLKETONURIA

Also known as fish odor syndrome which causes urine odor to be like rotting fish

TRIMETHYLAMINURIA

It is also seen in liver diseases which causes urine to be rancid odor

TYROSINEMIA

Methione malabsorption may causes urine odor to be like

CABBAGE, HOP

This causes urine to be sweaty feet odor

ISOVALERIC, GLUTARIC ACIDEMIA

A condition which is also prone to renal stones that may caused urine to sulfur or rotten egg odor

CYSTINE DISORDER

It is used to evaluate the kidneys ability to selectively reabsorb essential substances and water from the filtrate. It also detects possible dehydration or abnormalities in ADH

URINE SPECIFIC GRAVITY

What is the normal urine Specific Gravity

1.003-1.035

What specific gravity is not a urine except for DI conditions

<1.003

What is the specific gravity of urine undergoing Radiographic contrast media

>1.040

What is the specific gravity of Isosthenuria which is c'monly seen in renal dysfunction

=1.010

What is the specific gravity of Hypostenuria which is c'mon in Polyuria conditions

<1.010

What is the specific gravity of Hyperstenuria which is c'mon in Oliguria

>1.010

What are 2 methods to determine urine Specific gravity

DIRECT, INDIRECT

What are direct methods in determination of specific gravity

URINOMETRY, HYDROMETRY, HARMONIC OSCILLATION DENSITOMETRY

It is less accurate than the other methods of specific gravity determination which is not advisable by the CLSI

URINOMETRY, HYDROMETRY

How many ml of urine needed for urinometry

10-15

Calibration reagent and reading of urinometry

POTASSIUM SULFATE, 1.015

What is the calibration temperature of Specific gravity determination

What is the necessary correction if specimen is below the calibration temp

-0.001 EVERY 3C

What is the necessary correction if specimen is above the calibration temp

+0.001 EVERY 3C

What is the necessary correction if specimen has glucose

-0.004 EVERY 1G/DL

What is the necessary correction if specimen has Protein

-0.003 EVERY 1G/DL

COMPH Lesson 5

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Dis 1

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Lesson 4

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NPN

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NPN 2

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LESSON 10

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Introduction

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Introduction Page 2

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Introduction pg 3

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dis 1

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dis 4

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dis 5

dis 5

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Introduction

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