PHYSICAL EXAMINATION OF URINE LAB Flashcards
What are the three main steps in urinalysis?
- Specimen Collection
- Physical Examination of Urine
- Chemical Examination of Urine
- Microscopic Examination of Urine
- Release of Results
These steps ensure a comprehensive evaluation of the urine sample.
What does the physical examination of urine determine?
Determination of urine color, clarity, and specific gravity
The physical examination provides preliminary information concerning disorders.
What is Urochrome?
The pigment that causes the yellow color of urine
Urochrome concentration varies, affecting urine color.
What are the common urine colors?
- Pale yellow
- Yellow
- Dark yellow
A noticeable change in urine color often prompts medical consultation.
What does urine clarity refer to?
Transparency or turbidity of a urine specimen
Clarity is assessed visually against a light source.
What are the categories for urine clarity?
- Clear
- Hazy
- Cloudy
- Turbid
- Milky
Each category indicates the presence of particulates in the urine.
What is specific gravity in urine analysis?
Density of a solution compared with the density of distilled water (SG 1.000)
It measures the density of dissolved chemicals in urine.
What is the normal range for random urine specific gravity?
1.002 - 1.035
This range indicates normal kidney function and urine concentration.
What is isosthenuric urine?
Urine with a specific gravity of 1.010
Indicates a balance in urine concentration relative to plasma.
What is the principle of urinometry?
Uses buoyancy to measure specific gravity
A weighted float in a calibrated scale displaces urine to indicate SG.
What are the disadvantages of using a urinometer?
- 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.
What does harmonic oscillation densitometry measure?
Density of a solution based on sound wave frequency changes
It uses a U-shaped instrument to determine density through sound reflection.
What is osmolality?
The number of particles of solute per kilogram of solvent
It measures colligative properties of solutions.
What changes occur to the freezing point of water with the addition of 1 mole of solute?
Lowered by 1.86°C
This is an example of how solutes affect physical properties of solutions.
What are the advantages of using refractometry in urine analysis?
- Requires a small volume of specimen
- No temperature corrections needed
Refractometry is efficient for quick assessments of urine concentration.
What does a reagent strip measure?
Change in pKa of a polyelectrolyte in alkaline medium
This change indicates the concentration of hydrogen ions in urine.
What does the color change from blue to yellow on a reagent strip indicate?
Increase in hydrogen ion concentration as urine becomes more acidic
The color transition reflects varying pH levels in urine.