Tests Leukocytes Nitrite Urobilinogen Protein pH Blood Specific G. Ketone Bilirubin Glucose Unknown A [Phosphate] Negative Positive Normal [0.2] 300 8.5 Negative 1.044 Negative Negative Negative Unknown B [Albumin] Negative Negative Normal [0.2] 2000 6.0 Moderate 1.006 Negative Small Negative

Basic Clinical Laboratory Techniques 6E
6th Edition
ISBN:9781133893943
Author:ESTRIDGE
Publisher:ESTRIDGE
Chapter5: Urinalysis
Section5.3: Physical Examination Of Urine
Problem 15RQ
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Using Table 1 and Table 2 of the prelab, determine which disease, if any, may be indicated by the urine test results from Unknown A and Unknown B and why. Explain in your own words. See attacched tables need it .

Tests
Leukocytes
Nitrite
Urobilinogen
Protein
pH
Blood
Specific G.
Ketone
Bilirubin
Glucose
Unknown A [Phosphate]
Negative
Positive
Normal [0.2]
300
8.5
Negative
1.044
Negative
Negative
Negative
Unknown B [Albumin]
Negative
Negative
Normal [0.2]
2000
6.0
Moderate
1.006
Negative
Small
Negative
Transcribed Image Text:Tests Leukocytes Nitrite Urobilinogen Protein pH Blood Specific G. Ketone Bilirubin Glucose Unknown A [Phosphate] Negative Positive Normal [0.2] 300 8.5 Negative 1.044 Negative Negative Negative Unknown B [Albumin] Negative Negative Normal [0.2] 2000 6.0 Moderate 1.006 Negative Small Negative
Background
Urinalysis is used by doctors to assess various factors of urine, including color and pH, that could indicate disease.
These factors are normally kept in balance by the kidneys as they filter blood and produce urine but may change
under certain conditions like disease or medication use, or even with certain foods.
Color
light yellow to amber
clear to light yellow
yellow orange to orange
green
red to red brown
dark wine
brown
brown-black
Test Result
Low pH (<6)
High pH (>8)
Table 1. Urine Color and Possible Causes
Diet
Drugs
normal
increased fluid intake
Glucose Present
Protein Present
carrots
beets
rhubarb (large quantity),
fava beans, severe
dehydration
green food dyes, asparagus diuretics
beets
rhubarb (huge quantity),
excessive sorbitol
consumption
Low Specific Gravity (<1.010)
High Specific Gravity (>1.026)
none
alcohol
antibiotics, pyridium
senna laxatives
large meal
high protein diet
anti-inflammatory drugs
barbiturates
antidepressants
Normal urine colors range from light yellow to amber, depending upon the concentration of urobilin, the urinary
pigment. Certain foods, drugs, diseases, and amount of water intake can cause lighter or darker urine.
Table 2. Abnormal Urinalysis Results and Possible Causes
Possible Causes
Diet
high protein diet; cranberry juice
diet rich in vegetables; dairy
products
increased fluid intake
none
Disease
uncontrolled diabetes
mellitus
bilirubin from obstructive
jaundice
bacterial infection
hemoglobin in urine
(various causes)
hemolytic jaundice
hemolytic anemia or
liver disease; extremely
strenuous exercise or
muscle injury
melanin pigment from
melanoma (rare)
Disease
uncontrolled diabetes mellitus
severe anemia
severe renal damage
decreased fluid intake; loss of fluids uncontrolled diabetes mellitus;
severe anemia
uncontrolled diabetes mellitus
severe anemia
Transcribed Image Text:Background Urinalysis is used by doctors to assess various factors of urine, including color and pH, that could indicate disease. These factors are normally kept in balance by the kidneys as they filter blood and produce urine but may change under certain conditions like disease or medication use, or even with certain foods. Color light yellow to amber clear to light yellow yellow orange to orange green red to red brown dark wine brown brown-black Test Result Low pH (<6) High pH (>8) Table 1. Urine Color and Possible Causes Diet Drugs normal increased fluid intake Glucose Present Protein Present carrots beets rhubarb (large quantity), fava beans, severe dehydration green food dyes, asparagus diuretics beets rhubarb (huge quantity), excessive sorbitol consumption Low Specific Gravity (<1.010) High Specific Gravity (>1.026) none alcohol antibiotics, pyridium senna laxatives large meal high protein diet anti-inflammatory drugs barbiturates antidepressants Normal urine colors range from light yellow to amber, depending upon the concentration of urobilin, the urinary pigment. Certain foods, drugs, diseases, and amount of water intake can cause lighter or darker urine. Table 2. Abnormal Urinalysis Results and Possible Causes Possible Causes Diet high protein diet; cranberry juice diet rich in vegetables; dairy products increased fluid intake none Disease uncontrolled diabetes mellitus bilirubin from obstructive jaundice bacterial infection hemoglobin in urine (various causes) hemolytic jaundice hemolytic anemia or liver disease; extremely strenuous exercise or muscle injury melanin pigment from melanoma (rare) Disease uncontrolled diabetes mellitus severe anemia severe renal damage decreased fluid intake; loss of fluids uncontrolled diabetes mellitus; severe anemia uncontrolled diabetes mellitus severe anemia
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