Kinns Chapter 52 review

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AMORPHOUS
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lacking define shape
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bilirubinuria
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presence of bilirubin in urine
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COLONY-FORMING UNITS
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term used when reporting bacteriuria; one CFU represents one bacterium present in the urine sample
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CRENATE
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Forming notches or leaflike scalloped edges on an object
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culture and sensitivity (C&S)
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procedure performed in microbiology lab, a specimen is cultured on an artificial media to detect bacterial or fungal growth.
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CYSTOSCOPY
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VISUAL EXAMINATION OF THE URINARY BLADDER, most reliable test for detecting bladder cancer
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enzymatic reaction
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chemical reaction controlled by enzymes
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filtrate
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fluid that remains after a liquid is passed through a membranous filter
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GOLD STANDARD
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THE PARAGON OF EXCELLENCE
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metabolite
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the metabolism of a substance such as a drug
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mono-nuclear white blood cells
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leukocytes with unsegmented nucleus
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myoglobinuria
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abnormal presence of hemoglobin-like chemical of muscle tissue in the urine; result of muscle deterioration
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PHENYLALANINE
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essential amino acid found in milk, eggs, and other foods
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polymorphonuclear white blood cells
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leukocytes with segmented nucleus. aka polymorphonuclear neutrophils.
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refractile
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causing light to refract or bend, creating a sharp boundary or image
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renal threshold
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level at which a substance cannot be reabsorbed by the renal tubules and are excreted in the urine
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sediment
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insoluble material that settles to the bottom of a urine specimen
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supravital
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of, relating to, or capable of staining living cells after their removal from a living or recently dead organism
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routine urinalysis
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-Most common laboratory examination used in the diagnosis and treatment of disease
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Nephron
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Functional unit of the kidney, filtration, reabsorbed, excretion
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bowman's capsule
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The double-walled structure surrounding the glomerulus is the: ___________________
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bowman's space
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Fluid filtered from the glomerular capillaries enters ___ ___, (the space between the two layers of the glomerular capsule),
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urinary tract
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2 kidneys, 2 ureters and 1 bladder
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first morning specimen
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Best option for routine screening, pregnancy tests, bacterial culture, or protein determination and microscopic examination. First morning urine will be the most concentrated.
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24-hour urine specimen
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testing of creatinine and hormones clearance rates
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diabetes testing
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need a second voided specimen
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urine specimen
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should be kept refrigerate and should be processed within 1 hour of collection
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specimen cups
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patients need to fill half way
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Clean Catch Midstream Specimen
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3 towellettes
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urochrome
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color depends on the concentration of the pigment
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Cloudiness
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may be caused by cells , bacteria , yeast, vaginal contaminants, or CRYSTALS; turbidity specimen
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volume of urine daily
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2 L
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olglnuria
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insufficient production of urine , which can be caused by dehydration
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diabetes
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fruity smell because of the presence of ketones
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reagent
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strip used to test specific gravity, does not have to be performed on a fresh specimen within 1 hour
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Specific Gravity equipment
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urinometer (not used at a physician's office lab), a refractometer, or a chemical reagent strip
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specific gravity
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normal range from 1.005 to 1.030
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urinometer
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a sealed glass float with a calibrated paper scale in its stem
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PH
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range 5.5 to 8.0, urine PH is alkaline if the patient has bacteria
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protienuria
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first signs of renal disease
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ketones
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signs of diabetes mellitus, evaporates at room temp., should be tested immediately
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hemoturia
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presence of intact red blood cells in urine
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bilirubinuria
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signs of liver disease, store in dark place
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urobiligen
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normally presence in urine in small amounts
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casts
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may be caused by exercise, develop in renal tubules
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nitrates
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UTI ^nitrites ^leukocytes^ PH
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substance present in all pregnancy tests
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HCG
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crystals
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are present as a result of mediation or treatment, not reported, form when cooled,
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clinitest
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used to test glucosuria; gets really hot
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Ovulation testing
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test LH
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toxicology
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study of poisonous substances and their effects upon body parts
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polyuria
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increase urine output
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leukocytes
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infection
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blood
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presence of or onset of menstrual cycle, kidney stones, infection
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how much urine is needed for a microscopic exam
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10 ml
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acetest
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second test for ketones
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Foam on a urine specimen
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not reported
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Quality control for the microscope
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relies on standard commercial systems KOVA
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squamous epithelial cell
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most likely seen in a normal specimen
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yeast looks like
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red blood cells
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Bacteria
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tubular structure found in the urine and composed mainly of mucoprotein secreted by certain cells of the kidney
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\"mousy\" smell
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diagnosed with PKU phenlketonuria
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