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UTF-8urinalysis20gen20phys20KBR20edits202800229.docx

Spring 2020

BiolB460-L

Description

The video, below, explores how the kidneys filter blood to remove wastes and excess fluid from the body, maintaining a healthy balance of water and salts in the blood.

Physician Richard Lifton explains that as fluids (mostly water) from blood move through the kidney, almost all of the water, along with salts and nutrients the body needs, are reabsorbed by the blood. The remaining fluid and wastes become urine.

Lifton uses a fish tank being filled with water and salt to demonstrate how much liquid the kidney filters in a day: about 170 liters, of which only about 1 liter ends up in the urine. He also uses a 3D model to illustrate anatomical components of the kidney, including the nephron, the proximal tubule, the renal medulla, the loop of Henle, the distal convoluted tubule, and the cortical collecting duct.

Watch this clip from a 1998 Holiday Lecture Series, Of Hearts and Hypertension: Blazing Genetic Traits.

https://www.biointeractive.org/classroom-resources/kidney-function

Urinalysis is commonly used to diagnose a urinary tract or kidney infection, to evaluate causes of kidney failure, to screen for progression of some chronic conditions such as diabetes mellitus and high blood pressure (hypertension). It also may be used in combination with other tests to diagnose some diseases.

Assignment:

Daniel is a 38-year-old male with no known medical issues. He has not been feeling well the past few weeks, so he makes an appointment with his Primary Care Physician. The physician orders a urinalysis. Below are Daniel’s results.

Urinalysis Test Results:

 

Test

Results

Test

Results

Leukocytes

Few 

Blood

Negative-

Nitrite

 Negative-

Specific Gravity

Positive+

(1.015)

Urobilinogen

 Negative-

Ketone

Positive+

Protein

Negative- 

Bilirubin

Negative-

pH

Glucose

Positive+

 

Your Assignment:

Research how to interpret urinalysis tests and write a 2 page paper (1.5 spaced) summarizing these urinalysis results.  Why do medical providers test for each of the above substances? Explain what each variable determines. What pathology(ies) could Daniel be diagnosed with? Remember to include your sources.

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