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)