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דיפסטיק שתן

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by

Asia Estis-Deaton

on 17 June 2013

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Transcript of דיפסטיק שתן

Urine Dipstick Test
uRINALYSIS
2013 תיאופר הבישח
ןוטיד-סיטסא היסא

Microscopic Examination
How is the urine sample taken?
any hour / first urine
How Do I look?
plastic -
several reactions / paper -
single reaction
chemical
impregnated
pads
qualitative /
semi-quantitative
remember!
well mixed
excess urine
time
comparison
what do I test for?
Leukocytes
Blood
Ketone
Billirubin
Urobilinogen
nitrite [enterobacteriaceae]
Using the Dipstick: UTI Diagnosis
leukocyte esterase [PMN]
one / double positive = UTI
double negative = further examination
הנבה תלאש
.טירטינל תיבויח האצות הלבקתה ,ןתש קיטספיד תקידבב
?אוה םהזמהש חינהל ריבס

היטקלגא סוקוקוטפרטס .1
סוארוא סוקוקוליפטס .2
סנ'גויפ סוקוקוטפרטס .3
ילוק .יא .4
הנבה תלאש
ןתש ןתמב תופיחדו תופיכת לע תננולתמ 20 תב תלייח
.UTIב םידשוח םתא .ןתש ןתמ תעב הבירצ לעו
?קיטספידה תרזעב תאז ורשאת דציכ
bIblIography
Harrison's principles of internal medicine, 18th edition, Page 2391
Cecil essentials of medicine, 8th edition, Page 300
http://journals.lww.com/em-news
http://www.clalit.co.il
Chemical
Assessment
urine dipstick test
Protein:
pH:
Specific Gravity:
Glucose:
not present [<50kDa]
normal range: 0-8 mg/dL or NEG
Proteinuria: renal disease, HTN, preeclampsia
physiologically: fever, exercise, menstrual cycle
balance between acid and alkaline
normal range: 4.6 - 8.0
acidic: diabetic ketoacidosis, COPD, starvation
alkali: renal, vomiting, drugs
density of the substances dissolved in the urine
normal range: 1.002 - 1.028
Low: renal disease, overhydration, Diabetes inspidus
High: dehydration, renal/heart failure, SIADH
normal range: 2-30 mg/dL or NEG
Glucosuria: diabetes mellitus, renal disease, medication
טירטינל תיבויח הקידב .1
זארתסא טיצוקיולל תיבויח הקידב .2
תויבויח ויהי תוקידבה יתשש הבוח .3
תחא תיבויח האצות הקיפסמ .4
clean genitalia
'mid-stream'
quick & cool
medication
Full transcript