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urinalysis notes

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
What do kidneys do?   extract and remove metabolic wast from the blood  
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Microscopic unit of the kidney is....   nephron  
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Outer layer ok kidney   cortex  
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Inner layer of kidney   medulla  
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Cortex contains....   Gomerulus Bowman's Capsule PCT DCT  
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Medulla contains....   Loop of Henle and most of collection tubules  
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Ureters are capable of....   Peristalsis  
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Urinary bladder...   is a reservoir that contains the urine  
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Name 3 phases involved in urine production.   Filteration Reabsorption Secretion  
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List the flow of urine from kiidney to out the body.   Afferent Arteriole Glomerulus Bowman's Capsule PCT Loop of Henle DCT Large Collecting Duct Renal Pelvis Ureter Excretion  
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A complete urinalysis evaluates.... 2 things   Physical and Chemical Properties  
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List 4 methods of urine collection.   Free Catch Manual Expression Catheterization Cystocentesis  
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Free Catch....   Easiest method  
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What kind of sample is the best when using a free catch or manual expression??   Midstream  
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How is a manual expression performed?   animal in lateral recumbency or standing. Palpate the bladder Apply gentle steady pressure.  
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True or False. Use manual expression on obstructed urethras.   False  
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What are 2 types of catheters used??   Polypropalene Red Rubber  
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Redirect the needle in the bladder during a cystocentesis is a good idea??   NO  
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Where is the needle entered in the body of a male dog during a cystocentesis?   caudal to the umbilicus and to the side of the sheath of the penis  
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Where is the needle entered in the body of a female dog and cats during a cystoentesis??   ventral midline caudal to the umbilicus. or aim between the last 2 sets of nipples make and X and aim in the middle  
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Cystocentesis is the best method for what test??   Urine Culture Sensitivity  
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What type of tube do you send urine in for a culture or sensitivity??   Red Top Tube  
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Final report should included what??   Patient information collection technique used date and time collected method of perservation complete urinalysis results  
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Urinalysis should be performed within....   30 minutes to an hour of collection  
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Can it be refigerated?? for how long if you can??   Yes for 6-12 hours  
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True or False. Always warm refgerated sample to room temperature.   True.  
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What is the impact on the urine sample if it is refigerated?   crystals may form and alter specific gravity  
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What is the impact on urine at room temperature>>   cells deteriate rapidly RBC and casts will disintergrate Bacteria will mulitply.  
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Chemical changes at room temperature include...   decrease glucose concentration decrease billiruben concentration  
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What are the physical properties of urine?   Volume Smell Color Transparency  
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Polyuria   increased urine output  
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Oliguria   decreased urine output  
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Anuria   absence of urine  
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Pollakuria   frequent urination  
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Name factors that affect volume of urine.   fluid intake external losses enviromental temperature and humidity amount and type of food level of physical activity size of the animal species  
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dog normal urine output   20-40 ml/kg/day  
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Cat normal urine output   20-40 ml/kg/day  
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cattle normal urine output   17-45 ml/kg/day  
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Horses normal urine output   3-18 ml/kg/day  
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Sheep and goats normal urine output   10-40 ml/kg/day  
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normal urine color   yellow to amber  
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concentrated urine   darker  
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dilute urine   lighter  
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colorless   polyuria or low specific gravity  
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dark yellow to yellow brown   oliguria or high specific gravity  
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yellow brown or green with foam when shaken   bile pigments are present  
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red or red brown   presence of RBC or hematuria  
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brown   myoglobin  
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normal specific gravity for a dog   1.025  
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Normal specific gravity for a cat   1.030  
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Normal specific gravity for a horse   1.035  
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Normal specific gravity for cattle and swine   1.015  
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Normal specific gravity for sheep   1.30  
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herbivores have more   alkaline urine  
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Carnivores have more   acidic urine  
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Omnivores have   either acidic alkalinic urine  
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Average normal pH in dog   6-7  
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average normal pH in cat   6-7  
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average normal pH in horse   7-8.5  
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average normal pH in cattle   7-8.5  
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average normal pH in sheep   6-8.5  
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Is bilirubin normal??   Yes for dogs and cattle but not for sheep pigs cats and horses  
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Hematuria   RBC in urine  
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Hemoglobinuria   free hemoglobin in urine  
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Myoglobinuria   presence of myoglobin in the urine  
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piuria   pus in urine or excessive WBCs in urine  
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name 3 types of epithelial cells   transitional squamous renal  
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What do squamous epithelial cells look like?   flat thin cells with a homogeneous apperance straight edges with distinct corners the curl or fold  
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largest cells in urine sediment   squamous epithelial cells  
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What do transitional epithelial cells like?   round appear pear shaped or caudate are granular small nucleus larger than WBCs  
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What do renal epithelial cells look like?   usually round nucleus nongranular or finely granular cytoplasma  
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smallest epithelial cell   renal epithelial cells  
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Name the 3 classes of casts   hyaline epithelial cellular granular waxy fatty  
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Hyaline casts   clear colorless cylindrical with parallel sides and usually rounded ends  
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Granular casts   most common type of cast  
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Leukocyte cast   mainly Neutrophils  
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Erythrocyte cast   deep yellowto orange  
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Waxy cast   hyaline cast but wider and square ends gray or colorless  
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fatty cast   common seen in cats  
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Struvite crystals   coffin lids alkaline urine common in dogs and some cats  
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Amorphous Phosphate crystals   alkaline urine often confused with bacteria  
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Amorphous Urate crystals   acidic urine often confused with bacteria  
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Calcium Carbonate Crystals   common in horses and rabbits round with many lines rotating alkaline or neutral from the center also have dumbbell look  
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Ammonium biurate Crystals   acidic alkaline or neutral brown thor apple  
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calcium oxalate dihydrate   X small number seen in dogs and cats  
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Calcium oxalate monohydrate   picket fence antifreeze toxicity  
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Sulfonamide Crystals   round dark less in alkaline  
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Uric Acid crystals   acidic diamond rhomboid yellow yellow/ brown seen in dalmations  
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Leucine Crystals   acidic urine small pincushion yellow or brown liver Dz  
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Tyrosine crystals   acidic dark with needlelike projections liver Dz  
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cystine crystals   acidic flat 6 sides colorless thin renal tubular dysfunction or cystine urolithiasis  
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Biliruin Crystals   acidic rhomboid plates needles granules yellow ruby red dark brown liver dz  
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Cholesterol Crystals   large flat notched  
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Bacteria   cocci or bacilli quivering  
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cocci   round  
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bacilli   rod  
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Yesast   often confused with RBCs or fat droplets rare  
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Capillaria plica   bladderworm of dogs and cats  
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Dioctophyma renale   kidney worm of dogs  
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Dirofilaria immitis   dogs with adult heartworms and circulating microfilaria  
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Mucus Threads   often confused with casts resemble a twisted ribbon  
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Sperm   seen from intact male or recently bred females can produce a false positive for protein  
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Fat   seen to some degree in cats lightly green tinge spherical  
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lipuria   fat in urine  
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with Sudan III stain fat droplets appear   orange or red  
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Urolith   bladder stone or urinary calculi  
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Urolithiasis   occurrence of bladder stones or urinary calculi  
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