L39: urinalysis data breakdown

what characteristics indicate hemorrhage in urinary tract?

1. positive urine protein

2. RBC in sediment = RBC intact (hematuria)

3. positive heme

what characteristics indicate extravascular hemolytic disease/hemolytic icterus?

1. bilirubinuria

2. negative heme= no RBC in sediment

3. orange urine

what characteristics indicate acute muscle damage/myoglobin nephrosis?

1. increase CK

2. brown urine with clear plasma

3. positive heme, but no RBC in sediment

what characteristics would you expect for an intravascular hemolytic disease?

1. anemia

2. RBC lysis (pH=8 or USG < 1.015)

3. positive heme (no RBC in sediment)

4. red plasma -or- clear plasma with red urine

what characteristics do you expect for inflammation in genital or urinary tissues?

1. urine protein +

2. WBCs in sediment

3. USG >1.030

4. epithelial cells in urine

what would you expect for urinary tract hemorrhage?

1. urine protein +

2. RBC in sediment

3. USG >1.030

what would you expect for protein-losing enteropathy?

1. total protein decreased

2. urine protein +

3. USG = 1.007-1.013

what would you expect for inflammatory proteinuria (post-renal)?

1. urine protein +

2. WBC in sediment

3. RBC in sediment

4. USG >1.030

5. epithelial cells in urine

what are examples of inflammatory proteinuria (post-renal)

1. UTIS

2. exudation of plasma proteins

what would you expect in hemorrhagic proteinuria (post-renal)?

1. urine protein +

2. RBC in sediment (hematuria)

3. USG >1.030

what would you expect in tubular proteinuria (renal)?

1. decreased total protein

2. urine protein +

3. USG = 1.007-1.013

what would you expect for glomerular proteinuria?

1. decreased total protein

2. decreased albumin

3. urine protein +

4. USG - 1.007-1.013

what would you expect in prerenal proteinuria?

1. decreased total protein

2. urien protein +

3. USG > 1.030