Escolar Documentos
Profissional Documentos
Cultura Documentos
Faculty of Medicine
University of Tabuk
What is urinalysis?
■ It is one of most commonly used laboratory tests to
assess:
1. The state of the kidney and urinary tract.
2. Metabolic or systemic (non-kidney) disorders.
■ Normally urine is composed of 96% water and 4%
dissolved substances derived from waste products of
metabolism.
■ The actual composition of urine varies, depending on
diet, metabolism, general health of the body, and
health of the kidney.
Methods of urine collection
■ Random collection:
Taken at any time of day with no precautions regarding
contamination.
Sample may be dilute, isotonic, or hypertonic and may contain
white cells, bacteria, and squamous epithelium as
contaminants.
In females, the specimen may contain vaginal contaminants
such as trichomonas, yeast and red cells during menstruation.
■ Early morning sample:
Before ingestion of any fluid.
Usually hypertonic and reflects the ability of the kidney to
concentrate urine during dehydration which occurs overnight.
■ Clean-catch, midstream urine specimen:
Collected after cleansing the external urethral meatus.
The first half of the stream serves to flush contaminating cells and
microbes from the outer urethra prior to collection.
Used when urine is tested for infection
■ Catherization of the bladder through the urethra:
Used in a comatose or confused patient.
Procedure risks are introducing infection and traumatizing the
urethra and bladder.
■ Suprapubic transabdominal needle aspiration of the
bladder:
Provides the purest sampling of bladder urine.
A good method for infants and small children.
■ 24-hour urine collection
Used for quantitative and qualitative analysis of substances
Urinalysis