多彩多姿之尿液檢查 - chi meisub.chimei.org.tw/55399/images/pdf/06_education/01... ·...
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C.C: nocturia, 4-5 times/nightP.H: gout
1st morning voided urine
Appearance: yellow, clear
Glucose: -
Protein: -
Blood: -
Specific gravity: 1.005
pH: 7.0
RBC: 1-4/HPF
WBC: 1-4/HPF
尿液檢查(1)
• 清晨第一次尿液可以提供最多的資訊
• 顏色: 淡黃色, 清澈
• 比重: 評估腎臟濃縮尿液的能力
• 酸鹼值: 評估腎臟排出酸的能力
• 蛋白質: 評估腎絲球受傷的程度
• 尿糖: 評估是否血糖值過高
• 血液:評估是否有血尿
C.C: AC sugar 80 mg/dLAm I Diabetic Patient ?F.H: Parents (DM)
Appearance: yellow, clear
Glucose: 2+
Protein: -
Blood: -
Specific gravity: 1.020
pH: 7.5
RBC: 1-4/HPF
WBC: 1-4/HPF
尿液檢查(3)
KETONE: DETECT ACETOACETATE ONLY
UROBILINOGEN: DECREASED IN OBSTRUCTIVE JAUNDICE
BILIRUBIN: POSITIVE IN OBSTRUCTIVE JAUNDICE
NITRITE: MOST GNB CONVERT NITRATE TO NITRITE, NOT
ENTEROCOCCI.
LEUKOCYTE ESTERASE: DEPEND ON LEUKOCYTE ESTERASE
Which color of urine ?
• Medications, e.g amitriptyline , doxorubicin (cancer
chemotherapeutic drug), or indomethacin (Indocin)
• Foods, such as asparagus
• Food coloring (食用色素)
• Cystitis (bladder infection)
• Prostatitis (prostate infection)
• Pyelonephritis (kidney infection)
Which color of urine ?
• Infrequent condition, mainly seen in elderly patients with Foleytube, when in a plastic collection system.
•The ? Color is to a chemical reaction involving urine, plastic and
enzymes(indoxyl phosphastase/sulfatase) from some bacteria.
•Harmless, and no additional investigation is needed.
PURPLE URINE BAG SYNDROME (PUBS)
• INFREQUENT, MAINLY SEEN IN
ELDERLY PATIENTS, CHARACTERISED BY PURPLE COLORING OF URINE, ONLY
WHEN IN A PLASTICCOLLECTION SYSTEM.
•THE PURPLE COLOR IS DUE TO
A CHEMICAL REACTION INVOLVING URINE, PLASTIC AND ENZYMES(INDOXYLPHOSPHASTASE/SULFATASE) FROM SOME BACTERIA.
•PUB SYNDROME IS HARMLESS, AND NO ADDITIONAL INVESTIGATION IS NEEDED.