PHYSICAL EXAMINATION OF URINE LAB Flashcards

1
Q

What are the three main steps in urinalysis?

A
  1. Specimen Collection
  2. Physical Examination of Urine
  3. Chemical Examination of Urine
  4. Microscopic Examination of Urine
  5. Release of Results

These steps ensure a comprehensive evaluation of the urine sample.

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2
Q

What does the physical examination of urine determine?

A

Determination of urine color, clarity, and specific gravity

The physical examination provides preliminary information concerning disorders.

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3
Q

What is Urochrome?

A

The pigment that causes the yellow color of urine

Urochrome concentration varies, affecting urine color.

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4
Q

What are the common urine colors?

A
  • Pale yellow
  • Yellow
  • Dark yellow

A noticeable change in urine color often prompts medical consultation.

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5
Q

What does urine clarity refer to?

A

Transparency or turbidity of a urine specimen

Clarity is assessed visually against a light source.

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6
Q

What are the categories for urine clarity?

A
  • Clear
  • Hazy
  • Cloudy
  • Turbid
  • Milky

Each category indicates the presence of particulates in the urine.

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7
Q

What is specific gravity in urine analysis?

A

Density of a solution compared with the density of distilled water (SG 1.000)

It measures the density of dissolved chemicals in urine.

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8
Q

What is the normal range for random urine specific gravity?

A

1.002 - 1.035

This range indicates normal kidney function and urine concentration.

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9
Q

What is isosthenuric urine?

A

Urine with a specific gravity of 1.010

Indicates a balance in urine concentration relative to plasma.

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10
Q

What is the principle of urinometry?

A

Uses buoyancy to measure specific gravity

A weighted float in a calibrated scale displaces urine to indicate SG.

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11
Q

What are the disadvantages of using a urinometer?

A
  • Requires a large volume of urine
  • Difficult to read with turbid specimens
  • Temperature correction needed
  • Large substance correction needed

These factors limit the accuracy and usability of the urinometer.

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12
Q

What does harmonic oscillation densitometry measure?

A

Density of a solution based on sound wave frequency changes

It uses a U-shaped instrument to determine density through sound reflection.

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13
Q

What is osmolality?

A

The number of particles of solute per kilogram of solvent

It measures colligative properties of solutions.

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14
Q

What changes occur to the freezing point of water with the addition of 1 mole of solute?

A

Lowered by 1.86°C

This is an example of how solutes affect physical properties of solutions.

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15
Q

What are the advantages of using refractometry in urine analysis?

A
  • Requires a small volume of specimen
  • No temperature corrections needed

Refractometry is efficient for quick assessments of urine concentration.

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16
Q

What does a reagent strip measure?

A

Change in pKa of a polyelectrolyte in alkaline medium

This change indicates the concentration of hydrogen ions in urine.

17
Q

What does the color change from blue to yellow on a reagent strip indicate?

A

Increase in hydrogen ion concentration as urine becomes more acidic

The color transition reflects varying pH levels in urine.