Midstream Urine

Question 1

Introduction

Indications for MSU

Answer 1

Hello, I’m An, a 3rd year medical student on placement with the GP practice
Can I confirm your name and DOB
I’ve read through your notes and I understand that you may currently have a urine infection?
I’ve been asked by your GP to explain how to collect a urine sample that
-we can test to confirm this.
-we can use to find the most suitable antibiotic for you

Is this what you were expecting?

Ok, so I’ll
-explain how we’d like you to collect your sample
-ask you to explain to me how you’d collect your urine just so I can check that I’ve explained it clearly
Will this be ok?

Question 2

Procedure explanation

Answer 2

Wash hands
In the bathroom
-retract your foreskin
Take some loo paper and wipe 
-from the tip of the penis down towards you
-from front to back
This is to prevent any bacteria on your genitalia from contaminating your urine sample
Start peeing for around 3s
After then, start collecting your urine, fill the pot up to 2/3ds
Close the pot securely
Finish using the toilet 
Wash your hands

Question 3

Results interpretation in urine dipstick

-predip checks

Answer 3

PPE

Check patient details

Question 4

Inspection of sample

Answer 4

Odour

• sweet - DKA/glucose?
• pungent - infection
• ammonia - alkaline?

Colour

• red/pink - blood?
• brown - obstructive jaundice, dehydrated?
• green/blue - meds
• orange -obstructive jaundice?

Cloudiness

• pus
• foamy?

Sediment

Question 5

Dipping the sample

Answer 5

Check expiry date of dipsticks
Open sample and dip
Immerse all squares, remove and hold horizontally
Close sample pot
Wait for colour changes
Record results