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Biochemistry Practical 1: (Urine Analysis - Normal & Abnormal Urine Constituents)
Biochemistry Practical 1: (Urine Analysis - Normal & Abnormal Urine Constituents)
Biochemistry Practical 1: (Urine Analysis - Normal & Abnormal Urine Constituents)
Copied & Formatted From Handout of Dr. Atif & Prof. Farouk By :
Osama Al-Zahrani
@OSAMA_Z96
Normal constituents of urine
• Normal constituent of urine :
1-2 liter
• PH of normal urine :
4.5 to 8.0 (average is 6.0, slightly acidic)
Normal constituents of urine
• Chief action of urine :
Excreted waste substance
• Uric acid :
1- Uric acid is a waste product normally present in the blood as a result of the breakdown of purines.
2- Excessive amounts of uric acid can cause crystals to form in the joints and cause gout.
• Creatinine synthesis :
1- Creatine is synthesized from the amino acids glycine, arginine, and methionine, primarily in the liver, kidneys, and
pancreas, and it is transported from there to all the cells in the body via the bloodstream.
2- Since creatine is involved in all processes that require energy, muscle, brain and nerve cells receive correspondingly
larger amounts.
Creatinine synthesis
Abnormal constituents of urine
• Proteinuria :
1- Urine of healthy individual contains no protein or only traces amounts.
2- The protein can pass through kidney tubule to urine in case the damage of kidney tubule.
• Microalbuminuria :
1- Detection of nephropathy and diagnosis of DM complication.
2- Associated with face or feet abnormal edema, due to disturbance of fluid balance in body due to protein loss.
3- Quantitative for 24-h urine:
- Male:1-4 mg/dl,
- Female: 3-10 mg/dl,
- Child: 1-10mg/dl
• Glycosuria :
1- Renal threshold of glucose : is around 160 mg/100 ml.
2- In DM, characterized by:
- Hyperglycemia.
- Usually associated with polyuria (increased volume of urine).
- Urine may be light in color.
Abnormal constituents of urine
Ketonuria : Hematuria : Hemoglobinuria :
1- Common in uncontrolled DM. 1- Positive result due to : 1- Presence of hemoglobin in urine
2- Ketonurea present in: - Normally : No pathological cause. due to rupturing of RBCs.
- Disease (DM) - Abnormally : Stones or tumors. 2- Occur in malaria, typhoid, yellow
- Starvation 2- Need other confirmatory test. fever, hemolytic jaundice and other
- Vomiting for long time diseases.
3- Values :
- Negative test result is normal.
- Small: < 20 mg/dl
- Moderate: 30-40 mg/dl
- large > 80 mg/dl
Abnormal constituents of urine
• Bilirubin (Bile) :
1- Result from hemoglobin breakdown.
2- Elevated in hepatitis and jaundice.
3- Ehrlich reaction, in which diethylaminobenzaldehyde reacts with urobilinogen in acid medium to produce a pink color.
• Nitrite :
1- Normal urine doesn’t contain nitrate but not contain nitrites.
2- In the presence of bacteria, the normally present nitrate in the urine is reduced to nitrite.
3- The test is used for screening for bacteria, positive test indicates presence of more than 10 organisms/ml.
• Urine leucocytes:
1- This test detects any microbial infection in the body.
2- Positive result = more than 5 leucocytes/hpf. (high power field).
3- If urine stand long time leucocytes lysis and more intense reaction occur.
4- False positives : occurs with vaginal contamination, presence of glucose, albumin, ascorbic acid.
5- Large amounts of oxalic acid can inhibit the reaction.