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Specific Gravity Principle |
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Definition
pK changeof polyelectrolyte |
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Starvation, diabetes type 1, respiratory diseases, medications |
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Most UTIs, vegetarianism, improperly stored urine |
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Diabetes mellitus, impaired tubular reabsorption, gestational diabetes |
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Diabetes mellitus with insulin deficiency, starvation, vomiting, low-carb diet, GI malabsorption |
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Blood positive-cloudy urine, speckled dipstick |
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Intact RBCs, kidney stones, menstrual contamination |
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Blood positive-clear urine, solid dipstick |
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Hemoglobin-intravascular hemolysis Myoglobin-muscle trauma or heart attack |
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Urobilinogen positive, bilirubin negative |
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Bilirubin positive, urobilinogen neg |
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Cystitis, pyelonephritis, UTI |
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Leukocyte esterase positive/pyuria |
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Infection or inflammation |
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Protein confirmatory testing |
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Glucose confirmatory testing |
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Ketone confirmatory testing |
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Bilirubin confirmatory testing |
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Protein negative, SSA positive |
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Bence Jones proteins-multiple myeloma False positives-drugs and dyes |
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Glucose negative, clinitest positive |
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Galactose or other sugars |
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Glucose 1+ positive, clinitest negative |
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Glucose positive, clinitest negative |
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Bence Jones protein, microalbumin |
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Ascorbic acid (Vitamin C), unpreserved specimen (glycolysis) |
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Pigmented urine (drugs, meds, dyes) |
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Evaporation due to improperly stored specimen |
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Pigments from drugs or dyes |
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Urobilinogen false positive |
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Other "Ehrlich-reacting" compounds, pigments |
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Urobilinogen false negative |
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Not all bacteria produce nitrite, urine not in bladder long enough |
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Leukocyte esterase false negative |
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Definition
High levels of Glucose, protein, and high SG |
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