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A.D.A.M. Medical Encyclopedia [Internet]. Atlanta (GA): A.D.A.M.; 2013.
A.D.A.M. Medical Encyclopedia.
Urinalysis is the physical, chemical, and microscopic examination of urine. It involves a number of tests to detect and measure various compounds that pass through the urine.
How the test is performed
A urine sample is needed. Your health care provider will tell you what type of urine sample is needed. Two common methods of collecting urine are 24-hour urine collection and clean catch urine specimen.
The sample is sent to a lab, where it is examined for the following:
Physical color and appearance:
- What does the urine look like to the naked eye?
- Is it clear or cloudy?
- Is it pale or dark yellow or another color?
The urine specific gravity test reveals how concentrated or dilute the urine is.
Microscopic appearance:
- The urine sample is examined under a microscope to look at cells, urine crystals, mucus, and other substances in the sample, and to identify any bacteria or other germs that might be present.
Chemical appearance (urine chemistry):
- A special stick (dipstick) tests for various substances in the urine. The stick contains little pads of chemicals that change color when they come in contact with the substances of interest.
How to prepare for the test
Certain medicines change the color of urine, but this is not a sign of disease. Your health care provider may tell you to stop taking any medicines that can affect test results.
Medicines that can change your urine color include:
- Iron supplements
- Levodopa
- Phenazopyridine
- Phenothiazines
- Riboflavin
- Triamterene
How the test will feel
The test involves only normal urination, and there is no discomfort.
Why the test is performed
A urinalysis may be done:
- As part of a routine medical exam to screen for early signs of disease
- If you have signs of diabetes or kidney disease, or to monitor you if you are being treated for these conditions
- To check for blood in the urine
- To diagnose a urinary tract infection
Additional conditions under which the test may be performed:
- Acute bilateral obstructive uropathy
- Acute unilateral obstructive uropathy
- Chronic bilateral obstructive uropathy
- Chronic glomerulonephritis
- Chronic unilateral obstructive uropathy
- Chronic urethritis
- Complicated UTI (pyelonephritis)
- Left-sided heart failure
- Membranoproliferative GN II
- Prostatitis, chronic
- Prostatitis, nonbacterial
- Pyelonephritis, acute
- Rapidly progressive (crescentic) glomerulonephritis
- Right-sided heart failure
- Thrombotic thrombocytopenic purpura
Normal Values
Normal urine may vary in color from almost colorless to dark yellow. Some foods (like beets and blackberries) may turn the urine a red color.
Usually, glucose, ketones, protein, and bilirubin are not detectable in urine. The following are not normally found in urine:
- Hemoglobin
- Nitrites
- Red blood cells
- White blood cells
Normal value ranges may vary slightly among different laboratories. Talk to your health care provider about the meaning of your specific test results.
What abnormal results mean
Abnormal results may mean you have an illness. Your health care provider will discuss the results with you.
What the risks are
There are no risks.
Special considerations
If a home test is used, the person reading the results must be able to tell the difference between different colors, since the results are interpreted using a color chart.
References
- McPherson RA, Ben-Ezra J. Basic examination of urine. In: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. 22nd ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 28.
Review Date: 1/22/2013.
Reviewed by: Linda J. Vorvick, MD, Medical Director and Director of Didactic Curriculum, MEDEX Northwest Division of Physician Assistant Studies, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, David R. Eltz, Stephanie Slon, and Nissi Wang.
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Medicines for Early Stage Chronic Kidney Disease: A Review of the Research for Adults With Kidney Disease and Diabetes or High Blood Pressure
This summary will tell you about medicines for people with early stage chronic kidney disease and diabetes, high blood pressure, high cholesterol, or heart or blood vessel diseases. It will explain what research says about the benefits and possible side effects of these medicines. It can help you talk with your doctor about whether or not one of these medicines may be right for you.
The science behind screening testsScreening tests can lead to benefits and harms. Understand why, and how researchers find out if benefits outweigh harms for a test.
- Urinary tract infection - adults
- Diabetes
- Urine - bloody
- Protein in diet
- Vitamin C
- Acute nephritic syndrome
- Acute tubular necrosis
- Alkalosis
- Alport syndrome
- Analgesic nephropathy
- Anorexia nervosa
- Atheroembolic renal disease
- Bladder stones
- Urinary tract infection - children
- Chronic kidney disease
- Congenital nephrotic syndrome
- Cystinuria
- Delirium
- Dementia
- Dementia due to metabolic causes
- Diabetes insipidus - central
- Diabetes and kidney disease
- Bedwetting
- Epididymitis
- Failure to thrive
- Focal segmental glomerulosclerosis
- Goodpasture syndrome
- Heart failure - overview
- Hemolytic-uremic syndrome
- Henoch-Schonlein purpura
- Type 1 diabetes
- IgA nephropathy
- Injury - kidney and ureter
- Interstitial nephritis
- Urge incontinence
- Lupus nephritis
- Malignant hypertension
- Medullary cystic kidney disease
- Membranoproliferative GN
- Membranous nephropathy
- Myelomeningocele
- Necrotizing vasculitis
- Nephrotic syndrome
- Type 2 diabetes
- Orchitis
- Ovarian cancer
- Paroxysmal nocturnal hemoglobinuria (PNH)
- Polycystic kidney disease
- Post-streptococcal glomerulonephritis (GN)
- Prerenal azotemia
- Primary amyloidosis
- Prostate cancer
- Prostatitis - bacterial acute
- Reflux nephropathy
- Renal papillary necrosis
- Distal renal tubular acidosis
- Proximal renal tubular acidosis
- Renal vein thrombosis
- Retrograde ejaculation
- Rhabdomyolysis
- Secondary systemic amyloidosis
- Stress incontinence
- Systemic lupus erythematosus
- Scleroderma
- Traumatic injury of the bladder and urethra
- Ureterocele
- Urethral stricture
- Urethritis
- Wegener’s granulomatosis
- Wilms tumor
- UrinalysisUrinalysisPubMed Health
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