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Final Exam
Physical Examination of Urine
47
Science
Graduate
04/15/2013

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Cards

Term
Range of urine color
Definition
colorless to black
Term
4 reasons for color variation
Definition
Normal metabolic functions
Physical activity
Ingested material
Pathologic conditions
Term
How to view urine color appropriately
Definition
viewing down through the container against white background
Term
what is the normal color or urine attributed to?
Definition
urochrome
Term
How is urochrome produced?
Definition
produced at a constant rate. The actual amount produced is dependent upon metabolic activities.
Term
What does urochrome tell us?
Definition
Can serve as a rough indicator of kidney concentrating ability.
Term
Blood in urine
Definition
– most common cause of abnormal color. Usually appears red but may range from pink to black depending on pH of specimen
Term
RBCs in contact with acid urine produce
Definition
brown-blackish color owing to denaturation of hemoglobin. (Hemoglobin to methemoglobin)
Term
Hemoglobin and myoglobin in urine
Definition
impart a red but clear color color to urine, test positive for blood
Term
Nonpathogenic causes for alteration in color
Definition
Highly pigmented foods, medications and vitamins
Term
Light to medium yellow urine
Definition
normal
Term
colorless urine
Definition
very diluted
Term
very dark yellow
Definition
extremely concentrated, bilirubinuria
Term
red to brownish red
Definition
hematuria, hemoglobinuria, myoglobinuria
Term
reddish brown to brown
Definition
myoglobinuria, hemoglobinuria, or methmeglobinuria
Term
greenish tint
Definition
bilirubinuria
Term
Appearance of urine indicated
Definition
clarity of specimen
Term
What can normally make urine appear cloudy?
Definition
precipitation of amorphous phosphates and carbonates
Term
Cloudiness in acid urine may result from the precipitation of
Definition
amorphous urates, calcium oxalates, uric acid crystals
Term
What makes the urine appear to have a slight pink tinge?
Definition
collection of uroerythrin on the surface of the crystals
Term
4 most common causes for turbidity in urine?
Definition
White Blood Cells
Red Blood Cells
Epithelial Cells
Bacteria
Term
Other causes of Turbidity
Definition
lipids, mucus, semen, crystals, yeast, fecal contamination, and radiographic dyes
Term
The degree of turbidity is a key to
Definition
expected results from microscopic examination and should correspond to the quantity of material observed in the microscopic examination of the specimens
Term
The primary function of the kidney is
Definition
selective reabsorb essential minerals and water
Term
first physiologic function to degrade in renal disease.
Definition
selective reabsorb essential minerals and water
Term
urine specimens allow for
Definition
evaluation of concentrating abilities of the kidney
Term
Concentrating abilities of kidneys correspond to
Definition
evaluation of hydrational status and hormonal control mechanisms (ADH secretion
Term
Specific gravity
Definition
density of a substance compared to the density of distilled water at similar temperature.
Term
Specific gravity is influenced by
Definition
number of particles dissolved in the specimens and their size.
Term
why is osmlality a better test for evaluating concentrating abilities?
Definition
dependent solely on the number of particles
Term
Urinometer
Definition
A weighted float attached to a calibrated scale for measuring specific gravity in the range of 1.000 to 1.040
Term
Additional mass provided by the dissolved substances in the urine specimen cause
Definition
cause the float to displace less volume. The calibrated scale indicates the specific gravity.
Term
Principle disadvantage or using a urinometer
Definition
requirement of a large volume of specimen
Term
Urinometer-Required Corrections: temperature
Definition
Deviations in temperature from the calibrated temperature for the urinometer require correction to the obtained results
Term
correction factor for urinometer with temperature
Definition
A correction of -0.001 is required for every 3 C below standard temperature (20 C)

+0.001 change is required for each 3 C change above standard temperature
Term
Urinometer-Required Corrections: protein/glucose
Definition
Corrections are required when large amounts of protein or glucose are present in the sample owing to their large molecular weight. Neither have any relationship to the kidney’s concentrating ability
Term
correction factor for urinometer with protein
Definition
For each gram of protein/dL a –0.003 correction to the obtained result is required
Term
correction factor for urinometer with glucose
Definition
For each gram of glucose/dL a –0.004 correction to the obtained result is required
Term
Refractometer
Definition
measures the extent to which light is bent (i.e. refracted) when it moves from air into a sample and is typically used to determine the index of refraction (aka refractive index) of a liquid sample.
Term
Refractometer advantages
Definition
small sample size, temperature correction not required correction for protein and glucose required but refractometer is less affected
Term
Specific gravity of plasma entering glomerulus
Definition
1.010
Term
Isothenuric
Definition
Urine specimen with specific gravity equal to 1.010
Term
Hypothenuric
Definition
Urine specimen with specific gravity below 1.010
Term
Hyperthenuric
Definition
Urine specimen with specific gravity above 1.010
Term
all concentrated urines are hypethruric
Definition
false
Term
Normal random urine ranges
Definition
1.001 to 1.035
Term
Abnormally high results (>1.035)
Definition
seen after IVP (radiocontrast dye effect) and in patients receiving high molecular weight IV’s
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