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EKU summer urines
| Question | Answer |
|---|---|
| Normal 24 hour urine volume | 500-1800 mL |
| having a urine osmolality of approximately 300 mOsm/kg | diuresis |
| the excretion of excessive amounts of urine >3L perday | polyuria |
| tot urin volume of less than 400 mL perday | oliguria |
| no urine is excreted from the body | anuria |
| bilirubin to biliverdin, hemoglobin to methemoglobin and urobilinogen to urobilin are all reasons for changes in this characteristic of urine | color |
| due to bacterial proliferation and solute precipitation clarity of urine can be | decreased |
| at room temperature pH is increased due to what | bacterial decomposition of urea to ammonia |
| at room temperature pH is increased due to what | bacterial or yeast conversion of glucose to metabolic acids |
| at room temperature glucose is decreased due to what | cellular or bacterial glycolysis |
| at room temperature ketones decrease due to what two reasons | bacterial metabolism of acetoacetate to acetone and volatilization of acetone |
| why is bilirubin decreased at room temperature | photooxidation to biliverdin and hydrolysis of free bilirubin |
| at room temperature why is urobilinogen decreased | oxidation of urobilin |
| at room temperature why would nitrite in urine be increased | bacterial production following collection |
| at room temperature why would nitrite be decreased | conversion to nitrogen |
| at room temperature what would happen to RBC, WBC, and casts | disintegration of cellular and formed elements |
| at room temperature why would bacteria be increased | due to proliferation following collection |
| normal urine color | yellow |
| dilute urine color | colorless or light yellow |
| concentrated urine color | amber |
| bilirubin in urine color | dark amber to orange |
| urobilin in urine color | amber to orange |
| biliverdin in urine color | dark amber |
| hemoglobin in urine color | red, pink, or brown |
| myoglobin in urine color | red or brown |
| beets in urine color | red |
| fuscin alanine dye in urine color | red |
| methemoglobin in urine color | brown |
| homogentistic acid in urine color | brown to black |
| melanin in urine color | black |
| reasons for green or blue urine | indican, chlorophyll, pseudomonas, dyes and medications |
| what is the normal clarity of urine | clear |
| what does clarity depend on in urine | amount of constituents in the urine |
| Normal specific gravity | 1.002-1.035 |
| pKa change of pretreated polyelectrolyte is the principle of what urine test | specific gravity |
| a duel indicator test in which substances act as either proton acceptors or proton donors is what urine test | pH |
| What is normal pH for urine | 4.5-8.0 |
| this test involves catalase and peroxidase activity of heme in which myoglobin and rbc case oxidation of chromogen | Blood |
| what is normal result of blood test | negative |
| this test involves the coupling of an ester to form an aromatic compound with a diazonium salt to form a purple color | leukocyte esterase |
| what is the normal result for leukocyte esterase | negative |
| this test uses para-arsanilic acid and tetrahydrobenzo(h)-quinolin-3-ol and coupleswith diazonium salt | nitrite |
| what is the norm value for nitrite in urine | neg |
| this test involves citrate buffer at pH2; tetrabromphenol blue as an indicator and is based on the error of indicators | protein |
| what is the normal value for protein in urine | negative |
| this test involves glucose oxidase, peroxidase, o-toluidine, potassium iodide or aminopropylcarazol as a two step reaction with the goal of oxidizing chromogen | glucose |
| what is the norm value for glucose in urine | negative |
| this test is called legal's test and uses the reagent sodium nitroprusside | ketones |
| what is the norm value for ketones in urine | negative |
| this reaction again is a diazonium salt coupling reaction in which the reagents are dichloroanilin or dichlorobenzene-diazonium tetrafluoroborate | bilirubin |
| what is the normal value for bilirubin in urine | negative |
| this reaction has the reagents of dimethylamino-benzaldehyde | urobilinogen |
| what is the norm value for urobilinogen in the urine | .1-1.0 |
| Which chemical urine tests are affected by ascorbic acid | blood, nitrite, glucose, bilirubin |
| urobilinogen can have a positive reaction if this is substance is in the urine | ehrlich's reagent |
| Which chemical urine tests are affected by soaps and oxidizing agents | blood and glucose |
| what can cause errors in specific gravity | proteins, glucose, urea, pH and ketones |
| What is the confirmatory test for protein | SSA |
| What is the confirmatory test for carbohydrates other than glucose | clinitest |
| what is the confirmatory test for ketones | acetest |
| what is the confirmatory test for bilirubin | ictotest |
| what is the confirmatory test for porphyrins | watson schwartz |
| which confirmatory test uses ehrlick diazo reagen | watson schwartz |
| what confirmatory test is based on the coupling of a unique solid diazonium salt with bilirubin in an acid medium | ictotest |
| what confirmatory test involves a purple color formed with nitroprusside in the presence of glycine | acetest |
| what confirmatory test involves copper sulfate reacting with reducing substances producing heat and cuprous oxide | clinitest |
| what confirmatory test involves acidification causing precipitation of protein | SSA |
| What can affect the results of an SSA test | turbid urine or polyuria false negatives |
| sulfa drugs can affect what confirmatory test | clinitest |
| low specific gravity can cause a false positive for what confirmatory test | clinitest |
| these cells originate from the lining of the vaginal tract or lower portions of the male and female urethra | squamous epithilial |
| these cells originate from the renal pelvis to the proximal two thirds of the urethra | transitional epithelial |
| these cells originate in the renal tubules | renal tubule cells |
| this cell is from vascular fat degeneration | oval fat body |
| these cells are often seen in bacterial infections or nonbacterial disorders | WBC |
| these cells are due to WBC that lyse or swell | Glitter cells |
| these cells originate from renal bleeding or glomerulonephritis | RBC |
| 30-40 um with abundant cytoplasm with small central nucleus | squamous |
| 12-20 um round or pear shapped with centrally located nucleus | transition |
| 20-60 um oblong or round to oval and contain eccentric nucleus | renal tubular |
| tains with sudan black and have a maltese cross shape | Oval fat body |
| 10-15 um contains distinct nucleus | WBC |
| brownian movement of their internal granules produce sparkles | glitter cells |
| 7-10 um biconcave disks without nucleus | RBC |
| an increas number of these indicates acute tubular necrosis from heavy metals or drug toxicity and all renal disease | renal tubular |
| these indicate glomerular dysfunction with renal tubular cell death | oval fat bodies |
| these indicate an infection or inflammation of the genitourinary tract | WBC |
| when a large number or misshapen cells indicate renal transplant rejection, acute tubular necrosis, ischemic injury to the kidney or renal carcinoma | transition |
| when these cells are covered with bacteria they are called clue cells | squamous |
| amorphous urates, calcium oxalate, cholesterol are crystals found in what type of urine | acidic to neutral |
| leucine, tyrosine, cystine, and bilirubin are crystals found in what type of urine | acidic |
| amorphous phosphates, triple phosphates, calcium carbonate, ammonium biurate are crystals that are found in what type of urine | neutral to alkaline |
| calcium phosphate crystals are found in what type of urine | acidic, neutral, and alkaline |
| This crystal can be seen in urine of someone who has ingested ethylene glycol | calcium oxalate |
| this crystal can be seen in gout patients | uric acid |
| leucine and tryosine are found in the urines of people with what | rare liver disease aminoaciduria |
| cystine crystals are found in urines of people with what | cystinosis or cystinuria |
| cholesterol is found in urine due to what | lipiduria |
| these crystals look like an envelope | calcium oxalate |
| these crystals look like a lemon | uric acid |
| this crystals are dark yellow spheres with concentric circles | leucine |
| these crystals are colorless to yellow with fine delicate needles in clusters or sheaves | tyrosine |
| these crystals are colorless hexagonal plates often layered | cystine |
| these crystals often are flat rectangles with notched corners | cholesterol |
| these christals are yellow brown fine needles or granules that form clusters | bilirubin |
| these crystals resemble coffin lids | triple phosphate |
| these christals are dark yellow to brown and resemble thorny apples | ammonium biurate |
| these crystals are ovten thin prisms in rosetts or stellar forms | calcium phosphate |
| these crystals are often granular spheres or dumbbells | calcium carbonate |
| these are normally colorless homogeneous protein matrix with rounded ends that vary in shape and size | hyaline casts |
| Casts are made out of what protein | tamm-horsfall |
| this protein matrix is filled with degenerating cells, amorphous chrystals or bacteria, is normally colorless to yellow and varies in size and shape | granular cast |
| this protein matrix is filled with red blood cells often many free red cells in same field of view | RBC cast |
| this protein matrix is filled with renal epithelial cells | epithelial cast |
| these casts are homogeneous with a waxy thick appearance often with blunt uneven brittle looking edges | waxy/broad |
| this protein matrix contains oval fat bodies | fatty cast |
| these casts occur after strenuous exercise, stress, inflamation of the urogenital tract | hyaline |
| these cast occur during urine flow stasis, urogenital tract infections strenuous exercise or stress | granular |
| these casts occure in glomerulonephritis, acute interstitial nephritis, and after strenuous exercise | RBC |
| These cast occur due to renal tubular damage | epithelial |
| these casts occur due to tubular obstruction, urine flow stasis, severe nephron damage, and nephritic syndrome | waxy and broad |
| these casts occur during nephritic syndrome, renal tubular cell death, severe crushing injury | fatty |
| these cells found in urine can be rods, cocci, chains of cocci | bacteria |
| these cells found in urine can be seen after dilute acetic acid is added to the urine to lyse rbcs | yeast |
| these are 8-20 um with undulating flagella | trichomonas |
| this is threadlike structures with low refractive index found in urine with no significance | mucus |
| this renal disorder has a rapid onset of fever, malaise, and oliguria, normally post bacterial infection, RBC and RBC casts seen | acute glomerulonephritis |
| this renal disorder has a pronounced proteinuria and is due to systemic disease, all types of casts are seen as well as oval fat bodies | nephritic syndrome |
| this renal disorder is an infection of the renal tubules, interstitium and renal pelvis and all cell casts can be seen along with pyuria | pyelonephritis |
| this is a microbial infection of the bladder | cystitis |
| normal color of CSF | colorless |
| CSF with a yellow color indicates | bilirubin |
| CSF with a pink color indicates | oxyhemoglobin |
| CSF with an orange color indicates | oxyhemoglobin and bilirubin |
| CSF with a brown color indicates | methemoglobin |
| the term xanthochromic means | yellow color but in CSF can indicate any color |
| CSF normal clarity | clear |
| Reasons for CSF to be turbid | >200 WBC, >400 RBC, increased protein or microorganisms |
| Normal WBC for CSF | 0-5 uL |
| WBC for bacterial infection in CSF | >500 |
| WBC for viral infection in CSF | <100 |
| WBC for mycobacterial infection in CSF | <500 |
| WBC for fungal infection in CSF | <500 |
| Normal CSF glucose | 40-85 mg/dL |
| CSF glucose in bacterial infection | <40 |
| CSF glucose in viral infection | normal |
| CSF glucose in mycobacterium infection | <40 |
| CSF glucose in fungal infection | <40 |
| Normal CSF protein | 15-45 mg/dL |
| CSF protein in bacterial infection | >250 |
| CSF protein in viral infection | <100 |
| CSF protein in mycobacterial infection | 50-500 |
| CSF protein in fungal infection | 25-500 |
| Normal CSF lactate | <35 mg/dL |
| CSF lactate in bacterial infection | >35 |
| CSF lactate in viral infection | normal |
| CSF lactate in mycobacterial infection | >35 |
| CSF lactate in fungal infection | >35 |
| Cells found in normal CSF | lymphocytes |
| CSF cells in bacterial infection | neutrophils |
| CSF cells found in viral infection | early-neutrophils late-lymphocytes |
| CSF cells found in mycobacterial infection | lymphocytes |
| CSF cells found in fungal infection | lymphocytes |
| this fluids origin is in the cavities of the body | effusion |
| fluid volume between two membranes due to an alteration in the hydrostatic and oncotic pressure in the capillaries is what | effusion |
| this fluid is between the parietal membrane and the visceral membrane | serous |
| this is an ultrafiltrate of plasma and is produced and reabsorbed at a constant rate and allows for free movement of the organs | serous fluid |
| this fluid surrounds the heart | pericardial |
| this fluid is found in the abdominal cavity | peritoneal |
| this fluid surrounds the lungs | pleural |
| this fluid is found in the joints | synovial |
| How are serous fluids collected | paracentesis |
| how is pleural fluid collected | thoracentesis |
| how is peritoneal fluid collected | peritoneocentesis |
| how is pericardial fluid collected | pericardiocentesis |
| how is synovial fluid colected | arthrocentesis |
| this fluid is caused by increased hydrostatic pressure and a decreased oncotic pressure | transudate |
| this fluid is caused by inflammation with an increased capillary permeability and a decreased lymphatic absorbion | exudate |
| transudate color | pale yellow |
| exudate color | yellow, green, pink, red |
| transudate clarity | clear |
| exudate clarity | cloudy |
| transudate spontaneous clotting | negative |
| exudate spontaneous clotting | variable but mostly yes |
| transudate specific gravity | <1.012 |
| exudate specific gravity | >1.012 |
| transudate protein | <2 |
| exudate protein | >2.9 |
| transudate fluid serum ratio | <.5 |
| exudate fluid serum ratio | >.5 |
| transudate LD | <60% |
| exudate LD | >60% |
| transudate fluid to LD ratio | <.6 |
| exudate fluid to LD ratio | >.6 |
| transudate WBC | <1000 pleural <300 peritoneal |
| exudate WBC | >1000 pleural >500 peritoneal |
| transudate differential | mononuclear cells |
| exudate differential | early-neutrophils late-mononuclear cells |
| normal color of synovial fluid | pale yellow |
| normal viscosity of synovial fluid | high |
| Normal WBC of synovial fluid | <200 |
| What causes a non-inflammatory response in synovial fluid | osteoarthritis |
| what causes an inflammatory response in synovial fluid | RA and systemic disease |
| what causes an infectious response in synovial fluid | microbes |
| What cause a crystal response in synovial fluid | gout |
| what causes a hemorrhagic response in synovial fluid | joint injury or tumor |
| what two synovial conditions have a low viscosity | inflammatory and infectious |
| What is the specifications for a semen sample collection | ejaculation after two days of abstinence not more than 7 days |
| how long should normal semen take for liquefaction | 60 min or less |
| how long would an abnormal semen take for liquefaction | more than 60 min |
| what is the normal volume of semen | 2-5 mL |
| What is the normal cell count for semen | 20-250 million |
| what is the normal morphology for semen | 14% normal |
| what is the pH of semen | 7.2-7.8 |
| What does lecithin measure | fetal lung maturity |
| what is the normal lecithin value for a mature fetal lung | >2 |
| What does phosphtidyl glycerol measure | fetal lung maturity |
| What does the foam stability test measure | fetal lung maturity |
| What is the normal value for a foam test of a mature fetal lung | >.48 |
| what does amniotic bilirubin measure | HDN |
| What spectrophotometer setting for bilirubin | 350 or 580 |
| What is the normal amniotic bilirubin | 10-30 ug/dL |
| What does alpha-fetoprotein measure | neural tube defects |