Urinalysis

URINALYSIS INTERPRETATION CHEAT SHEET

  1. Leukocytes (White Blood Cells) → Infection

⚪ Meaning: Presence of white blood cells in the urine, also called pyuria

⚪ Significance: Suggests a urinary tract infection or inflammation of the urinary tract

 

  1. Nitrites → Infection

🟢 Meaning: Formed when certain bacteria convert urinary nitrates to nitrites

🟢 Significance: Indicates a bacterial infection, especially from gram-negative organisms like E. coli

 

  1. Glucose → Sugar Levels

🔵 Meaning: Normally absent in urine

🔵 Significance: Presence suggests high blood sugar levels, commonly due to diabetes mellitus or decreased renal threshold

 

  1. Urobilinogen → Liver Disease

🟡 Meaning: A breakdown product of bilirubin formed in the intestines

🟡 Significance: Elevated in liver disease or hemolytic conditions; low or absent levels may indicate bile duct obstruction

 

  1. Protein → Renal Disease

🟣 Meaning: Normally not present in significant amounts

🟣 Significance: Indicates kidney damage, especially in glomerular diseases like glomerulonephritis or nephrotic syndrome

 

  1. pH → Infection or Kidney Condition

🟠 Meaning: Measures urine acidity or alkalinity

🟠 Significance:

🟠 High (alkaline) pH: Can suggest urinary tract infection, diet effects, or vomiting

🟠 Low (acidic) pH: Can occur in diabetic ketoacidosis, starvation, or dehydration

 

  1. Specific Gravity (SG) → Dehydration

🔴 Meaning: Reflects urine concentration

🔴 Significance:

🔴 High SG: May indicate dehydration, heart failure, or concentrated urine

🔴 Low SG: May occur in overhydration or renal tubular dysfunction

 

  1. Ketones → Ketosis

🟤 Meaning: Produced during fat breakdown

🟤 Significance: Found in diabetic ketoacidosis, fasting, low-carb diets, or starvation

 

  1. Bilirubin → Liver Function

⚫ Meaning: Not normally found in urine

⚫ Significance: Indicates liver disease, such as hepatitis, or bile duct obstruction. Suggests impaired bilirubin metabolism or excretion….

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