A urinalysis is a test of your urine. A urinalysis is used to detect and manage a wide range of disorders, such as urinary tract infections, kidney disease and diabetes.
A urinalysis involves checking the appearance, concentration and content of urine. Abnormal urinalysis results may point to a disease or illness.
Type of urine samples:
- Random sample:
This is a diluted urine sample and may give an inaccurate interpretation of patient health. But is best to do microscopy to evaluate WBC or RBC.
- First Morning sample:
This is the best sample for microscopy and urine analysis. This is the concentrated urine because of urine remained throughout the night in the urinary bladder. This will contains an increased concentration of analytes and cellular elements. Urine must have remained in the bladder for 8 hours is considered as the first-morning sample.
- Urine for sugar (Postprandial 2 hours):
Postprandial 2 hours sample collected after 2 hours of high carbohydrate diet.
- Midstream clean catch urine:
This sample is needed for the culture and sensitivity of urinary infection. The patient is advised to clean the urethra, then discard the first few mL of urine. Now midstream of the urine is collected in the sterile container.
- 24 Hours of a urine sample
- In this case, discard the first urine and note the time.
- Now collect urine in the container for 24 hours and put the last sample in the container.
- Refrigerate the sample.
- This 24 hours samples are needed for measuring urea, creatinine, sodium, potassium, glucose, and catecholamines.
- Suprapubic collection of the urine sample:
This is done in the patients who cannot be catheterized and the sample is needed for culture. This sample is collected by the needle.
- Catheter collection of urine:
This is done by patients who are bedridden and can not urinate.
- Pediatric urine sample:
In infants, special collection bags are made adherent around the urethra. Then urine is transferred to a container.
Urine Chemical Examination:
A dipstick — a thin, plastic stick with strips of chemicals on it — is placed in the urine to detect abnormalities. The chemical strips change color if certain substances are present or if their levels are above normal. A dipstick test checks for:
- Acidity, or pH. If the acid is abnormal, you could have kidney stones, a urinary tract infection (UTI) or another condition. Read More ..
- Protein. This can be a sign your kidneys are not working right. Kidneys filter waste products out of your blood. Read More ..
- Glucose. A high sugar content is a marker for diabetes. Read More ..
- White blood cells. These are a sign of infection or inflammation, either in the kidneys or anywhere else along urinary tract. Read More ..
- Nitrites. This means that there is an infection with certain kinds of bacteria. Read More ..
- Bilirubin. If this waste product, which is normally eliminated by your liver, shows up, it may mean your liver isn’t working properly. Read More ..
- Blood in your urine. Sometimes this is a sign of infections or certain illnesses. Read More ..
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