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Test Code URC Urinalysis Complete

Additional Codes

EPIC LAB4215

Purpose

Urinalysis is a rapid method of semi-quantitatively examining a urine specimen for the most common chemicals excreted by the kidney. Urinalysis is used for diagnosis and management of renal and urinary tract disease, and for detection of certain metabolic or systemic diseases not directly related to the kidney.

Methodology

Iris automated chemistry and microscopy

Clinitek Status (Chemistry only)

Principles

Occult Blood - Pseudo-enzymatic test containing organic peroxide and a chromagen. The peroxidase effect of hemoglobin and myoglobin causes a color change to green. Normal urine contains no detectable amount of hemoglobin.

 

Urobilinogen - Based on the coupling reaction of urobilinogen with a stable diazonium salt in buffer. A pink to red color proportional to the urobilinogen concentration is generated. In normal urine, urobilinogen is usually present at concentrations up to 1 mg/dL

 

pH - This test contains a mixed indicator whihc assures a marked change in color between pH 5 and pH 9. the normal pH or urine can vary between 5 and 9.

 

Nitrite - This test is based on modified Griess reaction in which Nitrite in the urine reacts with amide to form a diazonium compound. The subsequent coupling reaction yeilds a pink color in the presence of nitrite.

 

Specific Gravity - Specific Gravity is physically determined by refractometry in the urine chemistry system and is not analyzed by strip chemmistry. A small flowcell is attached to a SG meter and the raw video from the linear photodiode array inside the device extends the measurement range to 1.060.

 

Leukocyte Peroxidase - Enzymatic test pad containing an indoxyl ester and a diazonium salt. Granulocyte esterases react with indoxyl ester and diazonium salt to generate a violet color.

 

Ascorbic acid - This test is based on Tilman's reaction in which the presence of ascorbic acid leads to the decolorization of the test pad from gray-blue to orange.

 

Ketones - Based on Legal's method in which the test pad contains sodium nitroprusside and glycine in an alkaline medium. A violet color proportional to methylketone is generated.

 

Protein - Based on the "protein error" of pH indicators on the green color developed from the presence of protein.

 

Bilirubin - Based on the coupling of bilirubin with diazonium salt in an acidic medium. A pinkish tan color proportional to bilirubin concentration is generated.

 

Color and Clarity - A narrow tubular flowcell equipped with a color sensor is located inside the Color and Clarity Module. When passing through the flowcell, the sample is illuminated with a white light and the color sensor used RGB photodetectors to measure the color of the sample. A second LED white light measures the amplitude of scattered light to determine clarity.

 

Glucose - Two step enzymatic reaction using gluocose oxidase, peroxidase, and a chromogen.

Sample Type

Urine (Random, Clean Catch, Cath, etc.)

Specimen Minimum Volume

4 mL

Specimen Stability

Temperature Time
Ambient (18-25°C) 2 hours
Refrigerated (2-8°C) (store) 24 hours
Frozen (-15 to -20°C) N/A

Reference Ranges

 Urine Chemistry Reference Ranges

Test Normal Value
Color Colorless, Straw, Yellow
Clarity Clear
Specific Gravity 1.005 - 1.030
pH 5.0 - 8.0
Protein Negative or trace
Glucose Negative
Ketones Negative
Bilirubin Negative
Blood Negative
Nitrite Negative
Urobilinogen Negative to 1.0
Esterase Male Negative
Female Negative to Trace

 

Urine Microscopic Reference Ranges

Test Normal Value
Crystals Negative
Epithelial Cells Squamous Negative to 1+
Transitional 0 - 2 (Rare)
Renal Tubular 0 - 1 (Rare)
Bacteria Male Negative
Female Negative to 1+
Mucus Negative to 1+
Spermatozoa (Male) Negative to 1+
Yeast Negative
Trichomonas Negative

 

Rejection Criteria

  • Samples outside of stability limits
  • Samples not properly labled (2 patient identifiers required)

Availability

Performed STAT
24/7 Yes

 

Performing Laboratory

MultiCare Yakima Memorial Hospital Laboratory

Lab Department

Urinalysis

CPT Code

81001

LOINC

24356-8 Urinalysis complete panel (U)