Physical Examination of Urine Flashcards

1
Q

Normal range for 24 hours of urine

A

“600-2000 mL”

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2
Q

Average 24 hr urine

A

“1200-1500 mL”

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3
Q

Night urine output

A

“<400 mL”

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4
Q

Day night ratio of urine

A

“2 - 3:1”

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5
Q

Container capacity of urine

A

“50 mL”

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6
Q

Amount required for routine UA

A

“10-15 mL (for urinometry and reagent strip)”

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7
Q

> 2000 mL/24 hrs of urine in adults (Henry)
2.5 L/day in adults (Strasinger)

A

Polyuria (increased urine volume)

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8
Q

Polyuria amount in children

A

2.5-3.0 mL/kg/day (in children)

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9
Q

Decreased urine volume in adults output (oliguria)

A

’< 500 mL/24 hrs (Henry);
‘< 400 mL/day (Strasinger)”

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10
Q

Oliguria in infants

A

’ <1 mL/kg/hr

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11
Q

Oliguria in children

A

< 0.5 mL/kg/hr

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12
Q

Complete cessation of urine flow amount (anuria)

A

< 100 mL/24 hrs

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13
Q

Increased urine output for night amount (nocturia)

A

> 500 mL of urine at night; S.G < 1.018

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14
Q

Any increase in urine excretion

A

Diuresis

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15
Q

Causes of polyuria

A

Increased fluid intake
Diuretics, nervousness
Diabetes mellitus
Diabetes insipidus

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16
Q

Difference between diabetes mellitus and diabetes insipidus in urine

A

Increased S.G in diabetes mellitus (increased glucose threshold)

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17
Q

Causes of decreased urine output

A

Dehydration, renal diseases, renal calculi, or tumor

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18
Q

Causes of anuria

A

“Complete obstruction (stones, tumors); Toxic agents; Decreased renal blood flow”

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19
Q

Diuresis causes

A

Excessive water intake (polydipsia); Diuretic therapy; Hormonal imbalance; Renal dysfunction, drug ingestion

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20
Q

Urine color should correlate with

A

Urine S.G

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21
Q

Normal color of urine

A

Colorless to deep yellow

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22
Q

Abnormal color of urine

A

“Red/Red brown (most common)”

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23
Q

Diabetes mellitus color of urine and S.G

A

“Colorless; Increased S.G”

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24
Q

Urine color determination should be examined at

A

“Under good light source; Look down through the container against white background”

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25
Q

Major pigment of urine; Lipid soluble (end product of endogenous metabolism)

A

“Urochrome”

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26
Q

Urochrome is increased in

A

“Thyrotoxicosis, fever, starvation, fasting”

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27
Q

Pink or red color in urine; Derived from melanin metabolism; Deposits amorphous urates and uric acid crystals

A

“Uroerythrin”

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28
Q

Dark yellow/orange brown color; Derived from an oxidation process; Present in old specimens

A

“Urobilinogen”

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29
Q

Recent fluid consumption urine color

A

“Colorless”

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30
Q

Polyuria (DM, DI), dilute random specimen color

A

Pale yellow

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31
Q

Concentrated specimen, strenuous exercise, dehydration, fever, burns
First morning urine specimen
Excessive urobilin, bilirubin, carotene color of urine

A

Dark yellow or amber

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32
Q

Yellow foam in urine indicates

A

“Bilirubin”

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33
Q

Tea colored urine is seen with

A

“Bilirubin”

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34
Q

Phenazopyridine (pyridium - UTI treatment) causes what urine color

A

“Orange/orange-yellow urine with orange foam”

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35
Q

Biliverdin presence causes what urine color

A

“Yellow green”

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36
Q

Pseudomonas infection, asparagus, B vitamins, phenol causes what urine color

A

“Green”

37
Q

Chlorophyll, clorets, phenol, indican, blue diaper syndrome (familial hypercalcemia, Hartnup disease) urine color

A

“Blue-green”

38
Q

Cloudy/Smoky red color of urine is seen in

A

“Hematuria (presence of RBCs)”

39
Q

Clear red color in urine indicates

A

“Hemoglobinuria”

40
Q

Myoglobin color in urine

A

“Clear-red/reddish brown/cola-colored/tea colored”

41
Q

Pink or Red color in urine is caused by

A

“RBC, Hemoglobin, Myoglobin, Porphobilin, Rifampin, fuchsin, Beets”

42
Q

Anti-Tb drug causes urine color

A

“Red/Pink color (Rifampin)”

43
Q

Beets causes red color in what urine pH

A

“Alkaline”

44
Q

Blackberries causes red color in what urine pH

A

“Acidic”

45
Q

Burgundy/Purplish red, Portwine color of urine is due to

A

Porphyrin

46
Q

Purple color of urine is caused by

A

“Indican (Klebsiella or Providencia infection)”

47
Q

Brown/Black color of urine is caused by

A

“Methemoglobin (acidic)
Homogentisic acid (alkaline)
Alkaptonuria; Melanin (upon air exposure)
Cola-colored = fava beans, rhubarb, or aloe”

48
Q

Pyuria/Leukocyturia (increased WBCs) causes what urine color

A

“Milky white”

49
Q

Drugs that cause pale, diuresis in urine

A

“Ethyl alcohol”

50
Q

Drugs that cause yellow color in urine

A

“Mepacrine (Atabrine), Fluorescein sodium”

51
Q

Drugs that cause bright yellow urine

A

“Riboflavin (multivitamins)”

52
Q

Drugs that cause orange-yellow urine

A

“Phenindione, Sulfasalazine (Azulfidine), Azo-gantrisin compounds”

53
Q

Drugs that cause blue-green color

A

“Amitriptyline, Methocarbamol (Robaxin), Methylene blue, Indomethacin (Indocin, Tivorbex), Propofol (Diprivan)”

54
Q

Drugs that cause brown/black urine color

A

“Phenol derivative, Argyrol, Methyldopa/Levodopa, Metronidazole (Flagyl), Methocarbamol, Nitrofurantoin, Chloroquine, Primaquine, Cascara/Senna”

55
Q

Drugs that cause red urine color

A

“Phenolphthalein, Phenindione, Phenothiazines, Desferal, Paraflex”

56
Q

Urine clarity determination is achieved by

A

“Thoroughly mixing the sample;
Examine sample in front of a light source;
View through newsprint paper”

57
Q

Clarity of no visible particulates and transparent

A

“Clear”

58
Q

Few particulates, print is EASILY seen through urine

A

“Hazy”

59
Q

Many particulates, print blurred through the urine

A

“Cloudy”

60
Q

Print cannot be seen through urine

A

“Turbid”

61
Q

Clarity may be precipitate or clotted

A

“Milky”

62
Q

Nonpathologic cause of urine turbidity

Some Amazing Animals Visit Sam’s Farm To See Reach Cows

A

Some = Squamous cell epithelial (females)
Amazing = Amorphous urates
Animals = Amorphous phosphates and carbonates
Visit = Vaginal cream
Sam’s = Semen
Farm = Fecal contamination
To = Talcum powder
Reach = Radiographic contrast media
Cows = Contrast media

63
Q

Pink sediment in urine is caused by

A

“Amorphous urates”

64
Q

White or beige precipitate in urine is caused by

A

“Amorphous phosphates and carbonates”

65
Q

Pathologic cause of turbidity in urine

Real Wizards Bring Nightmares After Little Bizarre

A

Real = RBCs
Wizards = WBCs
Bring = Bacteria
Nightmares = Nonsquamous epithelial cells
After = Abnormal crystals
Little = Lymph fluid (chyluria)
Bizarre = Lipids

Bacteria: uniform turbidity not cleared by acidification or filtration

66
Q

Laboratory correlations of acidic urine

A

“Amorphous urates, radiographic contrast media”

67
Q

Laboratory correlations of alkaline urine

A

“Amorphous phosphates, carbonates”

68
Q

Laboratory correlations of urine that is soluble with heat

A

“Amorphous urates, uric acid crystals”

69
Q

Laboratory correlations of soluble with dilute acetic acid

A

“RBCs, amorphous phosphates, carbonates”

70
Q

Laboratory correlations of insoluble in dilute acetic acid

A

“WBCs, Bacteria, Yeast, spermatozoa”

71
Q

Laboratory correlations of soluble in ether

A

“Lipids, Lymphatic fluid, chyle”

72
Q

Normal urine odor

A

“Aromatic, faintly, distinct, fragrant”

73
Q

Acute tubular necrosis (acute renal failure) odor of urine

A

“Odorless”

74
Q

Foul, ammoniacal, pungent odor is seen with

A

“UTI (Proteus vulgaris), old urine”

75
Q

Fruity, sweet odor is seen with

A

“Ketones (Diabetes mellitus, starvation, vomiting)”

76
Q

Odor of MSUD

A

“Caramelized sugar, curry, maple syrup”

77
Q

Phenylketonuria odor

A

“Mousy, Musty, Barny”

78
Q

Tyrosinemia odor

A

“Rancid butter”

79
Q

Sweaty feet, acrid odor of urine

A

“Isovaleric acidemia, glutaric acidemia”

80
Q

Menthol like odor of urine

A

“Phenol containing medication”

81
Q

Specimen adulteration or container contamination odor

A

“Bleach”

82
Q

Cabbage, hops odor

A

“Methionine malabsorption (Oasthouse disease)”

83
Q

Sulfur, rotten egg odor

A

“Cystine disorder”

84
Q

Rotting fish odor

A

“Trimethylaminuria”

85
Q

Pungent, fetid odor

A

“Ingestion of onions, garlic, asparagus (methylcaptan), UTI (brunzel)”

86
Q

Swimming pool odor

A

“Hawkinsuria (chlorine)”

87
Q

Cat urine odor

A

“3-Hydroxy-3-methylglutaric aciduria”

88
Q

Tomcat urine odor

A

Multiple carboxylase deficiency