L19: Urine As A Indicator Of Disease Flashcards

1
Q

What are the advantages of taking a urine sample

A

Non invasive (doesn’t require needles)
Easily obtained
Gives lots of info
Shows pre-renal and renal disease

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2
Q

Why is it important that a bacteria test is not taken in the morning

A

Bacteria can multiply at night and then become more in the morning

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3
Q

Why is important to carry out the urine sample test ASAP

A

So levels do not change in the urine

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4
Q

What is the normal volume of urine per day

A

0.8-2 litres

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5
Q

What is the normal general appearance of urine

A

Pale yellow and clear

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6
Q

What does a foamy urine indicate

A

Proteinuria

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7
Q

What does a cloudy urine indicate

A

Excess cellular protein
Sing of infection
High phosphate intake

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8
Q

What does a red urine indicate

A

Blood
Or
Myoglobin

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9
Q

When can we get myoglobulin in the blood

A

Muscle damage

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10
Q

What does a red/brown urine indicate

A

Conjugated bilirubin

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11
Q

What does black urine indicate

A

Melonin

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12
Q

When we carry out a microscopic examination what do we look for

A

Bacteria
Cells
Casts
Crystals

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13
Q

When we look for bacteria which type of bacteria do we look for

A

Gram negative bacteria

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14
Q

What type of cells do we look for

A

White cells or red cells

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15
Q

What does white cells indicate

A

Kidney infection

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16
Q

What does red cells indicate

A

Kidney damage

17
Q

What is the normal ph range for a urine

A

4.5-8

18
Q

Which disease can make the urine acidic

A

Diabetes
Starvation
Hyperventilation

19
Q

Which diseases make the urine alkaline

A

Urinary tract obstruction

Respiratory disorder: hypoventilation

20
Q

What is creatnine

A

A muscle energy reserve

21
Q

What happens to creatine levels when muscle degrade

A

Increase

22
Q

What do we get when there is low levels of urea

A

Hyperammonaemia: urea accumulates in blood

23
Q

Why is urea toxic to the brain

A

Urea can cross the blood brain barrier

24
Q

What is the treatment of hyperammonaemia

A

Low protein intake

25
Q

If there is low size protein in the urine what does this indicate

A

Pre-renal disease

26
Q

If there is a high size protein in the urine what does this indicate

A

Damaged kidney