Urinalysis Flashcards

1
Q

What is the normal range of urine pH?

A

4.5 to 8.

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2
Q

What causes a high urine pH?

A

Stale urine pH
Diet high in vegetable and cereals
Vomiting
Respiratory and Metabolic alkalosis
Urinary tract infection with ammonia forming organism

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3
Q

What causes a low urine pH?

A

Respiratory/ metabolic acidosis
Diet high in meat/protein
Starvation
Diarrhoea

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4
Q

What is a specific gravity of urine?

A

Density of urine in terms of the concentration of solutes. It is used to identify dehydration, diabetes insipidus or

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5
Q

What is the normal range for specific gravity of urine?

A

1.002 to 1.035

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6
Q

What causes a high specific gravity of urine?

A

High conc of solutes:
Dehydration

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7
Q

What causes a low specific gravity of urine?

A

Low solute concentration due to:
High fluid intake
Diabetes insipudus

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8
Q

What causes glucose in the urine?

A

Diabetes mellitus
Cushing’s Syndrome
Acute pancreatitis
Pregnancy (if blood glucose is not raised)

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9
Q

What does high bilirubin indicate?

A

Hepatic or biliary disease

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10
Q

What causes a false negative bilirubin?

A

Stale urine sample.

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11
Q

What causes a false positive bilirubin?

A

Medication such as thiazides and chlorpromazine (antipsychotic)

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12
Q

What does a high ketone level indicate?

A

Diabetes mellitus (uncontrolled)
Extreme starvation/dieting

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13
Q

What causes blood in urine?

A

Renal/Bladder stones
Trauma
Infection
Tumour

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14
Q

What causes false positive blood result?

A

Menstrual blood
Strenuous exercise
Dehydration

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15
Q

What causes proteinuria?

A

Pre-eclampsia
Nephrotic syndrome
Urinary tract infection
Renal disease
Congestive heart failure

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16
Q

What does a fishy odour of urine indicate?

A

Cloudy in appearance due to nitrites present from infection.

17
Q

What does a stagnant water smell indicate?

A

Pseudomonas infection

18
Q

What causes a false positive leukocyte result?

A

Vaginal secretions

19
Q

What causes a false negative result?

A

Vitamin C intake
Increased specific gravity
Glycosuria
Ketonuria
Proteinuria

20
Q

Change in urine colour to blue/green?

A

Pseudomonas infection

21
Q

Orange urine?

A

Urobilinogen

22
Q

Urine colour to brown?

A

Disease of gallbladder or liver

23
Q

Urine becomes black/dark brown?

A

Malignant melanoma
Myoglobin

24
Q
A