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Urinalysis

SIM

20726 

CPT

81001 

Synonyms

UA; Routine UA 

Specimen Type

Specimen of choice - Freshly void, first morning or random urine.  Catheterized Urine; Clean Catch Urine 

Container

Sterile Urine collection container

Collection Instructions

Clean Catch Instructions: 
1.  Clean external genitalia.  
2.  Begin voiding.  Let first portion of urine go into toilet.  
3.  Without interruption of urination process, collect the mid portion and allow the rest to pass into toilet.   
4.  Preferred for Urinalysis and Culture due to minimizing vaginal or terminal urethral flora contamination. 

Volume

5 ml preferred 
Min:  1 ml 

Additional Information

none

Patient Preparation

none

Specimen Processing Instructions

Refrigerate Urine

Transport Requirements

Refrigerated

Specimen Stability

Refrigerated: 24 hours 

Rejection Criteria

•  Insufficient volume 
•  Fecal contamination 

Reference Range

Chemistry Results

Specific Gravity

1.005 – 1.030

pH

5.0 – 8.0

Leukocyte Esterase

Negative

Leukocytes

Nitrite

Negative

mg/dL

Protein, Qualitative

Negative

mg/dL

 

Glucose

Negative

mg/dL

 

Ketones

Negative

mg/dL

 

Urobilinogen

Negative

EU/dL

 

Bilirubin

Negative

mg/dL

 

Blood 

Negative

mg/dL

 

Color

Light or pale straw, straw, yellow

 

Clarity

Clear to slightly hazy

 

Microscopy Results

WBC

0 - 8

/HPF

 

RBC

0 - 3

/HPF

 

Bacteria

None seen

/HPF

 

Epithelial Cells 

Squamous Epithelial

None Seen

/HPF

 

Transitional Epithelial

None Seen

/HPF

 

Renal Epithelial

None Seen

/HPF

 

Casts

Hyaline Casts

0 – 2

/LPF

 

Broad Casts

None Seen

/LPF

 

Granular Casts

None Seen

/LPF

 

Cellular Casts

None Seen

/LPF

 

WBC Cast

None Seen

/LPF

 

RBC Cast

None Seen

/LPF

 

Waxy Cast

None Seen

/LPF

 

Fatty Cast

None Seen

/LPF

 

Epithelial Cell Cast

None Seen

/LPF

 

Crystals

Calcium Oxalate Crystals

None Seen

/HPF

 

Amorphous Crystals

None Seen

/HPF

 

Uric Acid Crystals

None Seen

/HPF

 

Triple Phosphate Crystals

None Seen

/HPF

 

Calcium Carbonate Crystals

None Seen

/HPF

 

Calcium Phosphate Crystals

None Seen

/HPF

 

Leucine Crystals

None Seen

/HPF

 

Cystine Crystals

None Seen

/HPF

 

Tyrosine Crystals

None Seen

/HPF

 

Miscellaneous Particles

Yeast

None Seen

/HPF

 

WBC Clumps

None Seen

/HPF

 

Oval Fat Body

None Seen

/HPF

 

Trichomonas

None Seen

 

Sperm

None Seen

 

Mucus

None Seen

 

Critical Value

none 

Test Includes

Color, Specific Gravity, Glucose, Protein, Bilirubin, Urobilinogen, pH, Blood, Ketones, Nitrite, Leukocytes, and an automated Microscopic result 

Methodology

Iris Iq - AUTION sticks are read by a dual wavelength reflectance system.  Iris Iq Automated Microscopic - photographs particles as they are passed in front of the camera.  The images are classified, counted and stored for verification by the user.    

Testing Frequency

Daily, Monday - Sunday 

 

Reviewed By

Sandy Hammett 

Reviewed Date

1/31/2018

Supplemental

 

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