1 Flashcards

1
Q

What does a high pH suggest in urinalysis?

A

UTI
Vomiting
Also - a stale urine specimen

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2
Q

What does a low pH suggest in urinalysis?

2 reasons

A

Starvation
Diabetic ketoacidosis
Potassium depletion

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3
Q

What is specific gravity in urinalysis?

A

Measures total solute concentration in a liquid

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4
Q

What are the normal values for specific gravity?

A

1.002-1.035

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5
Q

What does a high value in specific gravity suggest?

1 reason

A

Dehydration

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6
Q

What might a low specific gravity suggest?

3 reasons

A

High fluid intake
Diabetes insipidus
Renal failure

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7
Q

What does glucose in the urine suggest?

4 reasons

A

Diabetes mellitus
High doses of salicylates or absorbic acid
Cushing’s syndrome
Acute pancreatitis

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8
Q

What does a high level of bilirubin in the urine suggest?

6 reasons

A
Liver disease
Gallbladder disease
Paracetamol overdose
Late cirrhosis of liver
Gallstones
Cancer in head of pancreas
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9
Q

What does blood in the urine suggest?

5 reasons

A
UTI
Calculi
Kidney disease
Trauma
Tumour
Prostatic hypertrophy 
Sickle cell anaemia
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10
Q

What is the normal range for blood in urine per microlitre?

A

Between +250 and -250 red blood cells

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11
Q

What might high ketone readings suggest?

2 reasons

A

Uncontrolled diabetes mellitus
Starvation
Excessive dieting

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12
Q

What does protein in urine suggest?

4 reasons

A
May indicate infection
Renal disease
Pre-eclampsia
Congestive heart failure
Hypertension
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13
Q

What does a high level of urobilinogen suggest?

A
Liver abnormalities
Haemolytic anaemia (excessive destruction of red blood cells).
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14
Q

Why is do we use urinalysis?

2 reasons

A

To screen for diabetes

Diagnose/confirm UTI

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15
Q

What is polyuria?

A

Excessive urination

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16
Q

What is nocturia?

A

Having to wake in the night to urinate

17
Q

What is dysuria?

A

Painful/difficult urination

18
Q

What is hematuria?

A

Blood in urine

19
Q

What is oliguria defined as?

A

Low urine output - less than 400ml/24hrs

20
Q

What is anuria defined as?

A

Very low urine output - less than 100ml/24hr

21
Q

What is pyruria?

A

White blood cells in urine