VETERINARY URINALYSIS Flashcards

(55 cards)

1
Q

SAMPLE COLLECTION

A
  • FREE CATCH (VOIDED SAMPLE)
  • BLADDER EXPRESSION
  • CATHETERIZATION
  • CYSTOCENTESIS
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2
Q

• ______________ ARE THE EASIEST TO COLLECT AND ARE OFTEN BROUGHT IN BY OWNERS.
• THEY ARE AN ADEQUATE SAMPLE FOR ROUTINE URINALYSIS.
• A MIDSTREAM, FIRST-MORNING COLLECTION WILL

A

FREE CATCH (VOIDED SAMPLE)

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3
Q

Free catch (voided sample) Advantages

A
  • No risk or complications to the patient.
  • Can be used by the client.
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4
Q

Free catch (voided sample) Disadvantages

A
  • High amount of contamination of cells, bacteria and debris from the genitourinary tract, surrounding fur and the environment.
  • Sample is unsuitable for culture.
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5
Q

• IN SMALL ANIMALS, _________________ CAN BE PERFORMED IF A FREE CATCH SAMPLE IS NOT POSSIBLE.
• THIS COLLECTION METHOD PROVIDES AN ADEQUATE SAMPLE FOR ROUTINE URINALYSIS.

A

BLADDER EXPRESSION

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6
Q

BLADDER EXPRESSION Advantages

A
  • Decreased risk of trauma (if done correctly).
  • Sample can be obtained when needed.
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7
Q

BLADDER EXPRESSION Disadvantages

A
  • Excessive pressure can result in trauma to the patient.
  • If the bladder does not contain sufficient quantities of urine at the time, expression may not be successful.
  • Same amount of contamination seen as with a voided sample.
  • Sample is unsuitable for culture
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8
Q

• ______________ INVOLVES INSERTING A RUBBER CATHETER INTO THE URETHRA AND FEEDING IT UP TO THE BLADDER OF THE PATIENT TO COLLECT A SAMPLE.
• A STERILE SYRINGE IS ATTACHED TO THE END OF THE CATHETER AND URINE IS DRAWN OUT.

A

CATHETERIZATION

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9
Q

CATHETERIZATION Advantages

A
  • Sample is collected in a sterile manner; therefore, it is suitable for culture.
  • Can collect urine sample when bladder volume is low.
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10
Q

CATHETERIZATION Disadvantages

A
  • Increased risk of an iatrogenic infection or trauma.
  • Difficult to perform in female animals.
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11
Q

• _______________ IS ANOTHER METHOD FOR COLLECTING A STERILE URINE SAMPLE, AND THEREFORE IS APPROPRIATE FOR BACTERIAL
CULTURE.
• THE PROCEDURE SHOULD ONLY BE PERFORMED ON QUIET, EASILY RESTRAINED ANIMALS.

A

CYSTOCENTESIS

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12
Q

CYSTOCENTESIS Advantages

A
  • Less of a risk of causing an iatrogenic infection (compared with catheterization).
  • No contamination of urine; therefore, the sample is suitable for culture.
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13
Q

CYSTOCENTESIS Disadvantages

A
  • Requires adequate volume of urine within the bladder.
  • May cause microscopic hematuria.
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14
Q

SAMPLE PRESERVATION

A
  • REFRIGERATION
  • FREEZING
  • TOLUENE
  • FORMALIN (40%)
  • BORIC ACID (0.8%)
  • COMMERCIAL PRESERVATION TABLETS
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15
Q

• FRESH URINE SHOULD BE EXAMINED WITHIN 20 MINUTES OF COLLECTION.
• IF THAT IS NOT POSSIBLE, THEN A METHOD OF
PRESERVATION SHOULD BE CONSIDERED.

A

SAMPLE PRESERVATION

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16
Q

• ______________ A URINE SAMPLE IS AN ADEQUATE FORM OF PRESERVATION FOR UP TO 6 HOURS.

A

REFRIGERATION

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17
Q

• PRESERVING URINE BY ____________ WILL INHIBIT BACTERIAL GROWTH, THUS AVOIDING CHANGES CAUSED BY THE ACTIONS OF MICROBES.

A

FREEZING

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18
Q

• ____________ IS AN ORGANIC SOLVENT THAT
CAN BE USED TO PRESERVE A URINE SAMPLE.

A

TOLUENE

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19
Q

• ____________ PREVENTS MICROBIAL GROWTH, THEREFORE PRESERVING THE CELLULAR INTEGRITY OF VARIOUS STRUCTURES WITHIN THE SAMPLE.

A

FORMALIN (40%)

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20
Q

• THE ADDITION OF ____________ TO A SAMPLE WILL INHIBIT BACTERIAL GROWTH.

A

BORIC ACID (0.8%)

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21
Q

• _______________ ARE DESIGNED TO INHIBIT MICROBES AND CONTROL THE PH OF A URINE SAMPLE, USUALLY FOR A PERIOD OF UP TO 5 DAYS.

A

COMMERCIAL PRESERVATION TABLETS

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22
Q

• THE ____________________ CONSISTS OF ASSESSING THE VOLUME, COLOR, TURBIDITY, ODOR, AND SG OF A URINE SAMPLE.

A

PHYSICAL EXAMINATION OF URINE

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23
Q

PHYSICAL EXAMINATION OF URINE

A
  • VOLUME
  • COLOR
  • TURBIDITY
  • ODOR
  • SPECIFIC GRAVITY (SG)
  • HYPERSTHENURIA
  • HYPOSTHENURIA
24
Q

• AN ACCURATE REPRESENTATION OF URINE
___________ SHOULD BE ASSESSED OVER A PERIOD OF 24 HOURS.
• NORMAL DAILY URINE OUTPUT CAN BE
CALCULATED USING A RATE OF 1 ML/KG/H
• TERMINOLOGY RELATED TO URINE __________

25
• NORMAL URINE IS DESCRIBED AS BEING STRAW COLORED.
COLOR
26
Straw
Normal
27
Colorless-pale
Dilute urine
28
Deep yellow
Concentrated urine; bilirubinuria
29
Orange-red
Hematuria; hemoglobinuria
30
Red-brown
Myoglobinuria
31
Milky white
Pyuria
32
• __________ REFERS TO THE “CLOUDINESS” OF URINE. • AN INCREASE IN __________ IN THE URINE CAN BE CAUSED BY CELLULAR ELEMENTS, CRYSTALS, MICROORGANISMS, OR MUCOUS.
TURBIDITY
33
• THE _________ OF URINE CAN PROVIDE INSIGHT INTO POSSIBLE CONDITIONS THAT SHOULD LATER BE CON-FIRMED THROUGH CHEMICAL AND SEDIMENT ANALYSIS.
ODOR
34
• THE URINE OF INTACT MALE ANIMALS, ESPECIALLY CATS AND GOATS, IS OFTEN
STRONG ODOR
35
• _________ IS DETERMINED BY ASSESSING THE DENSITY OF A LIQUID (IN THIS CASE, URINE) COMPARED WITH THE DENSITY OF DISTILLED WATER. • TERMINOLOGY RELATED TO ________
SPECIFIC GRAVITY (SG)
36
• THE SG OF THE URINE IS HIGHER THAN THE GLOMERULAR FILTRATE (DOGS: >1.030; CATS: >1.035).
HYPERSTHENURIA
37
• THE SG OF THE URINE IS LOWER THAN THE GLOMERULAR FILTRATE (<1.008). ISOSTHENURIA: • THE SG OF THE URINE IS EQUAL TO THAT OF THE GLOMERULAR FILTRATE (1.008–1.012).
HYPOSTHENURIA
38
• THE _____________ OF URINE IS USUALLY PERFORMED BY THE USE OF REAGENT STRIPS. • THESE ARE MULTIPARAMETER STRIPS THAT CONTAIN A NUMBER OF PADS, EACH DESIGNED TO TEST FOR A SPECIFIC URINE CONSTITUENT
CHEMICAL EXAMINATION
39
CHEMICAL EXAMINATION
- GLUCOSE - BILIRUBIN - KETONES - BLOOD - PH - PROTEIN - UROBILINOGEN - NITRITE - LEUKOCYTES
40
• THE TERM USED TO DESCRIBE ________ IN THE URINE IS GLUCOSURIA. • THE REAGENT STRIP METHOD FOR DETECTING __________ IS SPECIFIC FOR __________.
GLUCOSE
41
• WHEN _________ IS PRESENT IN THE URINE, THE TERM “BILIRUBINURIA” IS USED. • ICTOTEST TABLETS ARE AVAILABLE TO TEST FOR THE PRESENCE OF __________ IN A URINE SAMPLE
BILIRUBIN
42
• THERE ARE THREE KETONE BODIES THAT ARE PRODUCED: ACETONE,ACETOACETIC ACID, AND Β-HYDROXYBUTYRIC ACID. • MOST REAGENT STRIPS ARE SENSITIVE TO ACETOACETIC ACID, LESS SENSITIVE TO ACETONE, AND DO NOT DETECT Β-HYDROXYBUTYRIC ACID. • IN ADDITION TO THE REAGENT STRIPS, INDIVIDUAL TABLET TESTS CALLED ACETEST ARE AVAILABLE.
KETONES
43
• REAGENT STRIPS HAVE THE ABILITY TO DETECT INTACT RBC (HEMATURIA), FREE HEMOGLOBIN (HEMOGLOBINURIA), AND MYOGLOBIN (MYOGLOBINURIA) IN A URINE SAMPLE.
BLOOD
44
• __________ THROUGH REAGENT STRIPS OFFER ANALYSIS OF THE URINE’S ACIDITY OR ALKALINITY OVER A PH RANGE OF 5.0–8.5.
PH TESTING
45
• WHEN _________ IS PRESENT IN THE URINE, THE TERM PROTEINURIA IS USED. • REAGENT STRIPS ARE NOT SPECIFIC FOR ANY PARTICULAR PROTEIN.
PROTEIN
46
• WHEN TESTING FOR _______________, THE SAME LIGHT-SENSITIVITY PRECAUTIONS USED FOR BILIRUBIN SHOULD BE TAKEN.
UROBILINOGEN
47
• NITRITES ARE PRODUCTS FORMED FROM NITRATES BY THE ACTIONS OF CERTAIN SPECIES OF BACTERIA.
NITRITE
48
• ____________ PRESENT IN THE URINE ARE TERMED PYURIA. • THE REAGENT STRIP METHOD FOR DETECTING LEUKOCYTES RELIES ON THE DETECTION OF A LEUKOCYTE ESTERASE ENZYME.
LEUKOCYTES
49
• _____________ IS THE FINAL STEP OF A COMPLETE URINALYSIS. • A _____________ NOT ONLY ALLOWS THE TECHNICIAN TO VISUALIZE STRUCTURES SUCH AS CELLS, CRYSTALS, AND CASTS, BUT IT ALSO SERVES TO CONFIRM SUSPECTED FINDINGS DURING THE PHYSICAL AND CHEMICAL
SEDIMENT EXAMINATION/ MICROSCOPIC
50
• CASTS ARE EXAMINED AND EVALUATED AS THE AVERAGE NUMBER SEEN PER LOW POWER (10×) FIELD. • RED BLOOD CELLS AND WHITE BLOOD CELLS ARE EVALUATED AS THE AVERAGE NUMBER SEEN PER HIGH POWER FIELD (40×). • OTHER ELEMENTS, SUCH AS BACTERIA AND CRYSTALS, ARE ALSO EXAMINED UNDER HIGH POWER (40×), AND REPORTED AS OCCASIONAL (1+), FEW (2+), MODERATE (3+), OR MANY (4+).
REPORTING OF FINDINGS
51
MICROSCOPIC ELEMENTS OF URINE SEDIMENT
- red blood cells (unstained urine). - red blood cells (unstained urine). - red blood cells (stained urine). - white blood cells (arrows) in unstained urine. Red blood cells and bacteria are present as well. - white blood cells (arrow), red blood cells, and bacteria present in unstained urine. - white blood cells (arrow), red blood cells, and bacteria present in stained urine. - squamous epithelal cell. Bacilli bacteria and WBC's are also present. - two squamous epithelal cell, and one smaller, transitional epithelal cell. - Renal tubular cells.
52
Urinary Casts
- Hyaline cast (from Hendrix, Charles M. and Sirois, Margi. 2007, Laboratory Procedures for Veterinary Technicians, 5th ed. St. Louis: Mosby-Elsevier). - Epithelal cast (from Hendrix, Charles M. and Sirois, Margi. 2007 Laboratory Procedures for Veterinary Technicians, 5th ed. St. Louis: Mosby-Elsevier). - Granular cast (from Hendrix, Charles M. and Sirois, Margi. 2007, Laboratory Procedures for Veterinary Technicians, 5th ed. St. Louis: Mosby-Elsevier).
53
Acidic/neutral
- Ammonium urate - Amorphous urate - Calcium oxalate dihydrate - Calcium oxalate monohydrate - Cholesterol - Cystine - Magnesium ammonium phosphate - Sulfa metabolite
54
Acidic
Billrubin
55
Miscellaneous findings in urine sendiment
- A chain of cocci bacteria present in a urine sample. Red-shaped bacilli and RBC's are also present. - Diotophymarenale ovum (from Zajac, Anne M. and Conboy, Gary A. 2012, Veterinary Clinical Parasitology, 8th ed. Ames: Blackwell Publishing). - Artifact: bubbles. - Bacilli bacteria (arrows) and RBC's also present. - Spermatozoa. - Starch granules.