7 - Renal Stressors

Question 1

Urine Color

Dilute urine due to diuretics, alcohol consumption, diabetes insipidus, glycosuria, excess fluid intake, renal disease.

1. ) Colorless to pale yellow 2.) Yellow to milky white
2. ) Bright yellow 4.) Pink to red
3. ) Blue, blue green 6.) Orange to amber
4. ) Brown to black

Answer 1

Colorless to pale yellow

Question 2

Urine Color

Old red blood cells, urobilinogen, bilirubin, melanin, porphyrin, extremely concentrated urine due to dehydration, medications (cascara, metronidazole, iron preparations, quinine, senna products, methyldopa, nitrofurantoin).

1. ) Colorless to pale yellow 2.) Yellow to milky white
2. ) Bright yellow 4.) Pink to red
3. ) Blue, blue green 6.) Orange to amber
4. ) Brown to black

Answer 2

Brown to black

Question 3

Urine Color

Pyuria, infection, vaginal cream.

1. ) Colorless to pale yellow 2.) Yellow to milky white
2. ) Bright yellow 4.) Pink to red
3. ) Blue, blue green 6.) Orange to amber
4. ) Brown to black

Answer 3

Yellow to milky white

Question 4

Urine Color

Concentrated urine due to dehydration, fever, bile, excess bilirubin or carotene, medications (phenazopyridium HCl, nitrofurantoin, sulfasalazine, ducosate calcium, thiamine).

1. ) Colorless to pale yellow 2.) Yellow to milky white
2. ) Bright yellow 4.) Pink to red
3. ) Blue, blue green 6.) Orange to amber
4. ) Brown to black

Answer 4

Orange to amber

Question 5

Urine Color

Dyes, methylene blue, Pseudomonas species organisms, medications (amitriptyline, triamterene, phenylsalicylate).

1. ) Colorless to pale yellow 2.) Yellow to milky white
2. ) Bright yellow 4.) Pink to red
3. ) Blue, blue green 6.) Orange to amber
4. ) Brown to black

Answer 5

Blue, blue green

Question 6

Urine Color

Hemoglobin breakdown, red blood cells, gross blood, menses, bladder or prostate surgery, beets, blackberries, medications (phenytoin, rifampin, phenothiazine, cascara, senna products).

1. ) Colorless to pale yellow 2.) Yellow to milky white
2. ) Bright yellow 4.) Pink to red
3. ) Blue, blue green 6.) Orange to amber
4. ) Brown to black

Answer 6

Pink to red

Question 7

Urine Color

Multiple vitamin preparations.

1. ) Colorless to pale yellow 2.) Yellow to milky white
2. ) Bright yellow 4.) Pink to red
3. ) Blue, blue green 6.) Orange to amber
4. ) Brown to black

Answer 7

Bright yellow

Answer 8

Question 9

If you see a high BUN, and a normal creatinine, don’t suspect kidney, suspect something else like GI bleed or protein.

If both the BUN and creatinine are elevated, then there is kidney damage.

Answer 9