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Lab Quiz - Urinalysis
Kidney function, chemical tests, physical tests
67
Medical
Undergraduate 1
10/23/2012

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Term
lipiduria
Definition
lipids in the urine
Term
lyse
Definition
to break open
Term
mictruition
Definition
expelling of urine, also referred to as voiding and urination
Term
nephron
Definition
functional unit of the kidney
Term
nocturia
Definition
excessive urination at night
Term
oliguria
Definition
decrease in the volume of urine output
Term
pH
Definition
scale that measures the level of acidity or alkalinity
Term
polyuria
Definition
passing abnormally large amounts of urine
Term
porphyrin
Definition
intermediate substance in the formation of heme (part of hemoglobin)
Term
pyuria
Definition
white blood cells in the urine (puss in the urine)
Term
reducing substance
Definition
substance that easily loses electrons
Term
renal corpuscle
Definition
part of the nephron that contains the blomerulus and glomerular capsule
Term
renal threshold level
Definition
blood reabsorption limit of a substance and the point at which the substance is then excreted in the urine
Term
renal tubules
Definition
part of the nephron composed of proximal convoluted tubules, the nephron loop (loop of Henle), and distal convoluted tubules
Term
retroperitoneal
Definition
located behind the peritoneal cavity
Term
sediment
Definition
the material at the bottom of the centrifuged tube of urine
Term
specific gravity
Definition
in urinalysis the weight of urine compared with the weight of an equal volume of water; measures the amount of dissolved substances in urine
Term
supernatant
Definition
the liquid portion of urine on top of the spun sediment
Term
ureters
Definition
slender, muscular tubes ten to twelve inches long that carry the urine formed in the kidneys to the urinary bladder
Term
urethra
Definition
tube that carries urine to the outside of the body
Term
urethral meatus
Definition
urethral opening through which urine is expelled
Term
urinary bladder
Definition
hollow muscular organ that holds urine until it is expelled
Term
anuria
Definition
no flow of urine
Term
Bence Jones protein
Definition
protein found in the urine of patients with multiple myeloma
Term
bilirubin
Definition
waste product from the breakdown of hemoglobin
Term
casts
Definition
elements excreted in the urine in the shape of the renal tubules and ducts
Term
diuresis
Definition
increase in the volume of urine output
Term
dysuria
Definition
painful urination
Term
electrolyte
Definition
element or compound that forms positively or negatively charged ions when dissolved and can conduct electricity
Term
glomerular (Bowman's) capsule
Definition
cup-shaped structure surrounding the glomerulus that collects the glomerular filtrate
Term
glomerulus
Definition
structure in the renal corpuscle made up of tangled blood capillaries
Term
glycosuria
Definition
sugars (especially glucose) in the urine
Term
hematuria
Definition
intact red blood cells in the urine
Term
hemolysis
Definition
red cells breaking open and releasing hemoglobin
Term
iatrogenic
Definition
caused by treatment or diagnostic procedures
Term
ketonuria
Definition
ketones in the urine
Term
What does the chemical exam of urine do?
Definition
detects the presence of certain compouds or chemicals?
Term
Urines that are postive for what four chemicals need confirmatory tests?
Definition
protein, glucose, ketones, and bilirubin
Term
Name some reasons for doing a chemical exam on urine?
Definition
1. patient's carbohydrate metabolism
2. kidney function
3. liver function
4. acid-base balance
5. rule out infection
Term
Name the ten parts of the chemical exam.
Definition
pH, specific gravity, protein, bilirubin, blood, nitrite, ketone, urobilinogen, glucose, leukocyte esterase
Term
What does the pH measure?
Definition
the degree of acidity or alkalinity
Term
Which four chemicals need to be spun if they are present in the urine?
Definition
nitrite, leukocytes, blood, protein
Term
What could changed the pH level in a urine?
Definition
diet, medicines, kidney disease, metabolic disease, respiratory disease
Term
What are the three steps to urination?
Definition
1. Glomerular filtration - filters
2. Tubular Reabsorption - reabsorbs
3. Tubular Secretion - goes back into blood
Term
When would protein be present in the urine?
Definition
renal disease, UTI, excercise
Term
If there is glucose in the urine, what does it indicate about the blood sugar?
Definition
It is equal to 180mg/dL or higher
Term
What are the physical characteristics in urine?
Definition
odor, color, appearance, and specific gravity
Term
What are the words used to describe urine odor and what could they possibly mean?
Definition
fruity (ketones present), mousy or musty (PKU), maple syrup (maple syrup disease), ammonia (infection, urine left at room temp too long)
Term
What are the words used to describe urine and what could they indicate?
Definition
yellow, red (hematuria, myoglobin, porphyrins), brown/black (melanin), yellow-brown/green-brown (bilirubin, hepatitis)
Term
What is the normal color of urine?
Definition
pale yellow to amber
Term
What are the words used to describe appearance of urine and what could they indicate?
Definition
clear (normal), cloudy (blood, epithelial cells, mucus, bacteria), turbid (amorphous, WBC, Bacteria, RBC)
Term
What is the normal range for specific gravity?
Definition
1.003-1.030 or 1.005-1.030
Term
What is the normal pH for urine?
Definition
5-8
Term
What are some functions of the urinary system?
Definition
removes unwanted wastes, stabilized blood volume, acidity and electrolytes, regulates extracellular fluids of the body, secretes hormones, regulates absorption of calcium ions by activating vitamin D
Term
What is the purpose of erythropoietin?
Definition
controls the rate of red blood cell formation
Term
What is the purpose of renin?
Definition
regulates blood pressure
Term
Describe the kidneys.
Definition
Reddish brown, bean shaped, 4-5 inches long
Term
Where are the kidney's located?
Definition
slightly above the waistline in the posterior wall of the abdominal cavity, in retroperitoneal position
Term
What is the functional unit of the kidney?
Definition
nephron
Term
About how many nephrons are in each kidney?
Definition
1 million
Term
Three steps of urination?
Definition
Filtration, Reabsorption, secretion
Term
What makes up about 95 percent of urine?
Definition
water
Term
Urine also contains what kind of waste products?
Definition
nitrogen; such as urea, uric acid, ammonia, and creatinine
Term
Approximately how much blood passes through the renal arteries per minute?
Definition
1200ml
Term
urochrome comes from what?
Definition
the breakdown of hemoglobin
Term
yellow-brown urine could indicate that what substance is present?
Definition
bilirubin
Term
orange-yellow urine could indicate that what substance is present?
Definition
urobilinigen
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