Urinalysis and Body Fluids 6th Edition by Majorie DiLorenzo, Susan Strasinger

Exercise 4

Results of a urinalysis performed on a patient scheduled for gallbladder surgery are as follows:

COLOR: Amber KETONES: Negative

CLARITY: Hazy BLOOD: Negative

SP. GRAVITY: 1.022 BILIRUBIN: Moderate

pH: 6.0 UROBILINOGEN: Normal

PROTEIN: Negative NITRITE: Negative

GLUCOSE: Negative LEUKOCYTES: Negative

a. What would be observed if this specimen were shaken?

b. Explain the correlation between the patient’s scheduled surgery and the normal urobilinogen.

c. If blood were drawn from this patient, how might the appearance of the serum be described?

d. What special handling is needed for serum and urine specimens from this patient?

Step 1 of 4

a.

If the specimen is shaken, yellow form is observed due to the existence of bilirubin pigment.

• Presence of bilirubin causes amber or dark yellow urine