physical examination of urine Flashcards

1
Q

Name 4 physical characteristics observed in urine

A

Color, Clarity, Specific Gravity, Odor

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2
Q

Normal color of urine

A

Yellow

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3
Q

Pigments in urine

A

Urochrome (yellow)
Uroerythrin (pink)
Urobilin (orange-brown)

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4
Q

Term for colorless urine

A

Straw

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5
Q

Color observed in first morning urine, patients who are drinking vitamin B complex and are dehydrated

A

Dark Yellow

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6
Q

Urine color when bilirubin is oxidized to Biliverdin

A

Yellow-green

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7
Q

Urine color when there is Pseudomonas infection

A

Green

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8
Q

What causes orange-yellow color

A

Phenazopyridine (Pyridium)
Phenindione

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9
Q

What causes blue-green urine?

A

Amitriptyline;
Methocarbamol (Robaxin);
Clorets;
Methylene blue;
Phenol (Oxidized)
Indican BLUE DIAPER DISEASE

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10
Q

Color caused by Blue Diaper Disease (alkaptonuria)

A

Blue-green

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11
Q

Urine color when there is hematuria

A

Pink

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12
Q

Urine color when there hemoglobin and myoglobin are present

A

Red

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13
Q

T/F: Hemoglobin and myoglobin presence in urine affects clarity.

A

False. Only intact RBCs (hematuria) disrupt clarity.

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14
Q

Distinct description of porphyrins in urine

A

Port wine

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15
Q

Urine color when RBCs are oxidized to methemoglobin

A

Red-brown

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16
Q

What causes Brown color in urine

A

Homogentisic acid

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17
Q

Urine color produced when there is homogentisid acid, malignant melanoma, melanin phenol derivatives, argyrol, methyldopa or levodopa, metronidazole

A

Black

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18
Q

Also known as urine transparency

A

Clarity

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19
Q

Describe clarity: No visible particulates, transparent

20
Q

Describe clarity: Few particulates, print easily seen through urine

21
Q

Describe clarity: Many particulates, print blurred through urine

22
Q

Describe clarity: Print cannot be seen through urine

23
Q

Describe clarity: Precipitated or clotted

24
Q

Give non pathologic causes of urine turbidity

A

Squamous epithelial cells; mucus; amorphous phosphates, carbonates, urates; semen, spermatozoa; fecal contamination, radiographic contrast media; talcum powder; vaginal creams

25
Give pathologic causes of urine turbidity
RBCs, WBCs, bacteria, yeast, nonsquamous epithelial cells, abnormal cells, lymph fluid, lipids
26
Evaluation of urine concentration is done by measuring ____
Specific gravity
27
Direct methods of measuring specific gravity
Urinometer Harmonic Oscillation Densitometer
28
Indirect methods of mesuring specific gravity
Reagent strip Refractometer
29
Uses pka change and bromthymol blue to allow release of hydrogen ions that makes it red/acidic
Reagent strip
30
Uses light and refractive index to measure specific gravity by comparing velocity of light in air and velocity of light in urine
Refractometer
31
SG = 1.010
Isosthenuric
32
SG < 1.010
Hyposthenuric
33
SG > 1.010
Hypersthenuric
34
What causes high specific gravity
dehydration, high levels of glucose or protein, xray contrast media or dye, diabetes mellitus
35
What causes low specific gravity
diluted urine, renal failure, diabetes insipidus, decreased ADH function
36
Sweaty feet odor
Isovaleric acidemia
37
Cabbage odor
Methionine malabsorption
38
Fecaloid odor
Rectovesicular fistula
39
Fruity, sweet odor
Ketonuria
40
Maple syrup odor
Maple syrup urine disease
41
Rancid odor
Tyrosinemia
42
Foul ammonia-like odor
Bacterial decomposition (UTI)
43
Bleach odor
Contamination of bleach
44
Putrid/extremely foul odor
Necrosis in the genitourinary tract
45
Dried celery odor
Oast house disease
46
Normal Odor
Aromatic
47
Mousy odor
Phenylketonuria