Tuesday, April 21, 2009

URINE TEST



URINE

TESTS


S.NO

TEST

SAMPLE

NORMAL VALUES

CLINICAL IMPLICATION

1

AMMONIA NITROGEN

24 HOUR

20—70 mEq/l

VALUES INCREASE IN DIABETES MELLITUS; VALUES DECREASE IN LIVER DISEASES.

2

AMYLASE

2 HOUR

35—260 SOMOGYI UNITS/HOUR

VALUES INCREASE IN PANCREATITIS AND CHOLEDOCHOLETHIASIS.

3

BILIRUBIN

RANDOM

NEGATIVE

VALUES INCREASE IN LIVER DISEASES AND OBSTRUCTIVE BILIARY DISEASE .

4

BLOOD OCCULT

RANDOM

NEGATIVE

VALUES INCREASE IN RENAL DISEASE, EXTENSIVE BRUNS, TRANSFUSION RECATIONS, AND HEMOLYTIC ANEMIA.

5

CALCIUM

RANDOM 24 HOUR

AVERAGE DIET

LOW Ca DIET

HIGH Ca DIET

10mg/dl

100—240mg/24hour

150 mg/24hour

240—300 mg/24hour

VALUES INCREASE IN HYPERPARATHYRODISM, METASTATIC MALIGNANCIES, AND PRIMARY CANCER OF BREAST AND LUNGS , VALUES DECREASE IN HYPOPARATHYRODISM AND VITAMIN D DEFICIENCY.

6

EPITHELIAL

24HOUR

OCCASIONAL

VALUES INCREASE IN NEPHROSIS AND HEAVY METAL POISONING.

7

GRANULAR HYLAINE

24 HOUR

OCCASIONAL

VALUES INCREASE IN NEPHRITIS AND PYELONEPHRITIS.

8

RED BLOOD CELL

24 HOUR

OCCASIONAL

VALUES INCREASE IN PYLONEPHRITIS, KIDNEY STONE , AND CYSTITIS.

9

WHITE BLOOD CELL

24 HOUR

OCCASIONAL

VALUES INCREASE IN KIDNEY INFECTION.

10

CHLORIDE Cl

24HOUR

140—250 mEq/24hr

VALUES INCREASE IN ADDISON’S DISEASES, DEHYDRATION, AND STARVATION,; VALUES DECREASE IN PYLORIC OBSTRACTION, DIRRHEA, AND EMPHYSEMA.

11

COLOR

RANDOM

YELLOW, STRAW, AMBER

VARIES WITH MANY DISEASE STATES , HYDRATION AND DIET,

12

CONCENTRATION TEST

RANDOM AND AFTER RESTRICTION

Sp. Gravity; 1.025 OSMOLALITY; 850 mOsm/l

VALUES DECREASE IN RENAL DISEASE , HYPERPARATHYRODISM , AND BONE DISEASE .

13

CREATININE

24 HOUR

MALE; 1.0—2.0g/24hr

FEMALE; 0.8—1.8g/24hr

VALUES INCREASE IN INFECTION , VALUES DECREASE IN MUSCULAR ATROPHY, ANEMIA, AND KIDNEY DISEASES.

14

GLUCOSE

RANDOM

NEGATIVE

VALUES INCREASE IN DIABETES MELLITUS, BRAIN INJURY, AND MYOCARDIAL INFRACTION.

15

HYDROXYCORTI COSTEROIDS

24HOUR

MALE; 5—15 mg/24 hr

FEMALE; 2—13mg/24 hr

VALUES INCREASE IN CUSHING’S SYNDROME, BURNS AND INFECTIONS , VALUES DECREASE IN ADDISON’S DISEASE.

16

KETONE BODIES (acetone)

RANDOM

NEGATIVE

VALUES INCREASE IN DIABETIC ACIDOSIS , FEVER, ANOREXIA, FASTING , AND STARVATION.

17

KETOSTEROIDS ( KS )

24 HOUR

MALE; 8—25 mg/24hr

FEMALE; 5—15 mg/24 hr

VALUES DECREASE IN SURGERY BURNS, INFECTIONS, ADRENOGENTIAL,SYNDROME, AND CUSHING’S SYNDROME.

18

ODOR

RANDOM

AROMATIC

ACETONELIKE IN DIABETIC KETOSIS.

19

OSMOLALITY

24HOUR

500—800 mOsm/kg water

VALUES INCREASE IN CIRRHOSIS, CONGESTIVE, HEART FAILURE, AND HIGH PROTEIN DIETS , VALUES DECREASE IN ALDOSTERONISM , DIABETES, INSIPIDUS, AND HYPOKALEMIA.

20

PH

RANDOM

4.6—8.0

VALUES INCRESE IN URINAY TRACT INFECTIONS AND SEVERE ALKALOSIS, VALUES DECREASE IN ACIDODIS , EMPHYSEMA., STARVATION, AND DEHYDRATION.

21

PHENYLPYRUVIC ACID

RANDOM

NEGATIVE

VALUES INCREASE IN PHENYLKETONURIA (PKU )

22

POTASSIUM

24HOUR

40—80 mEq/l

VALUES INCREASE IN CHRONIC RENAL FAILURE, DEHYDTATION, STARVATION , AND CUSHING’S SYNDROME, VALUES DECREASE IN DIARRHEA, MALABSORPTION SYNDROME, AND ADRENAL CORTICAL INSUFFICIENCY.

23

PROTEIN (ALBUMIN )

RANDOM

NEGATIVE

VALUES INCREASE IN NEPHRITIS, FEVER, SEVERE ANEMIAS, TRAUMA,AND HYPERTHYRODISM.

24

SPECIFIC GRAVITY

RANDOM

1.001—1.035 (normal fluid intake )

1.001—1.035 (range )

VALUES INCREASE IN DIABETES MELLITUS AND EXCESSIVE WATER LOSS, VALUES DECREASE IN ABSENCE OF ANTIDIURETIC HORMONE ( ADH ) AND SEVERE RENAL DAMAGE.

25

UREA

RANDOM

25—35 g/24 hr

VALUES INCREASE IN RESPONSE TO INCREASE PROTEIN INTAKE, VALUES DECREASE IN IMPAIRED RENAL FUNCTION.

26

URIC ACID

24 HOUR

0.4—1.0g/24hr

VALUES INCREASE IN GOUT , LEUKEMIA , AND LIVER, DISEASE, VALUES DECREASE IN KIDNEY DISEASE.

27

UROBILINOGEN

2 HOUR

0.3—1.0 Ehrlich units

VALUES INCREASE IN ANEMIAS, HEPATITIS A , (INFECTIONS) BILIRAY DISEASE, AND CIRRHOSIS; VALUES DECREASE IN CHOLELOTHIASIS AND RENAL INSUFFICIENCY.

28

VOLUME TOTAL

24 HOUR

1000—2000 ml/24hr

VARIES WITH MANY FACTOR



















































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