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Exam (elaborations)

URINALYSIS CLINICAL BIOCHEMISTRY QUESTIONS WITH COMPLETE ANSWERS

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URINALYSIS CLINICAL BIOCHEMISTRY QUESTIONS WITH COMPLETE ANSWERS

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older than 2 hours?


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SH does dipstick but no microscopy.




semi-automated urine instrument


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methods= reflectance spectometry, used for consistency.




Urine microscope elements

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10-12ml of urine is spun in a centrifuge, the sediment is spread on a slide
and looked at under a microscope.

RBCs and WBCs
casts
crystals
bacteria, yeast cells, parasites
epithelial cells
other elements.




infections


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bacterial- lower and upper urinary tract

viral-HSV (herpes simplex virus) type 2 my infect the urethra. Other viral
UTIS, such as bladder and kidney infections, do not usually develop unless
a person immune system is impaired.

Fungal- candida is the most common and frequently infects people who
have an impaired immune system or a bladder catheter in place. fungi and
bacteria may infect the kidneys at the same time.

parasitic-trichomoniasis, schistosomiasis, filariasis.




Diabetes insipidus


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, unable to concentrate urine properly. improper functioning vasopressin
hormone. urinate a lot.




ketones


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measurement- in absence of availble carbohydrates, fats are metabolized
and ketones are formed.

3 ketone bodies.
acetyl acetate, BHB, Acetone.
in urine acetyl acetate gets measured, in blood BHB gets measured.


false postiive: drugs with sulfhydrl groups=red pigments

false negatives= improper storage-evaporation or breakdown by bacteria



correlation- glucose with diabetes
may also be due to excess vomiting or starvation




Renal calculi


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