Beruflich Dokumente
Kultur Dokumente
Urinalysis
Analysis of the urine affords enormous insight into the function of the kidneys. The first step
in urinalysis is doing a dipstick test. The dipstick has reagents that check the urine for the
presence of various normal and abnormal constituents including protein. Then, the urine is
examined under a microscope to look for red and white blood cells, and the presence of casts
and crystals (solids).
Only minimal quantities of albumin (protein) are present in urine normally. A positive result on a
dipstick test for protein is abnormal. More sensitive than a dipstick test for protein is a laboratory
estimation of the urine albumin (protein) and creatinine in the urine. The ratio of albumin
(protein) and creatinine in the urine provides a good estimate of albumin (protein) excretion per
day.
Latest result
Macroscopic Microscopic
1st result
Macroscopic Microscopic
Blood test
Creatinine and urea (BUN) in the blood: Blood urea nitrogen and serum creatinine are the
most commonly used blood tests to screen for, and monitor renal disease. Creatinine is a
product of normal muscle breakdown. Urea is the waste product of breakdown of protein. The
level of these substances rises in the blood as kidney function worsens.
Estimated GFR (eGFR): The laboratory or your physician may calculate an estimated GFR
using the information from your blood work. It is important to be aware of your estimated GFR
and stage of chronic kidney disease. Your physician uses your stage of kidney disease to
recommend additional testing and suggestions on management.
Decreased production of the active form of vitamin D can cause low levels of calcium in the
blood. Inability to excrete phosphorus by failing kidneys causes its levels in the blood to rise.
Testicular or ovarian hormone levels may also be abnormal.
Blood cell counts: Because kidney disease disrupts blood cell production and shortens the
survival of red cells, the red blood cell count and hemoglobin may be low (anemia). Some
patients may also have iron deficiency due to blood loss in their gastrointestinal system. Other
nutritional deficiencies may also impair the production of red cells.
Hematology
Resul Normal Analysis
t
WBC 10.4 4.0- Normal
11.0x10^9
/L
RBC 2.36 4.0- Result was below normal.
6.0x10^12 This indicates alteration in
/L erythropoietin production
secondary to renal
malfunction.
HGB 70 120-180 Result was below normal.
g/L This shows the decrease in
the oxygen carrying capacity
of the blood secondary low
hematocrit.
HCT 0.22 0.370- Result was below normal,
4 0.540 thus showing anemia related
to insufficient RBC
production.
MCV 94.8 20-100fL Normal
MCH 29.6 27-31pg Normal
MCHC 312 320-360 Result was below normal
g/L
RDW 15.2 11.5-15.0% Normal
Differential
count
01 2-6% Result was below normal
Bands
Segmented 93 50-70% Result was above normal
Lymphocytes 05 20-44% Result is above the normal
range, indicating bacterial
infection.
Monocytes 01 2-9% Result was below normal
Creatini 674 umo 53.0 1.3 11.50 mg 0.6 1.3 Result was
ne high l/L 0 0 /dl 0 0 above normal
thus showing
inability of the
kidney to
excrete
nitrogenous
waste.
Sodium 133 mm 136 14 122.0 mE 13 14 Result was
low ol/L 8 0 q/d 6 8 below normal
l thus showing
the fluid and
electrolyte
imbalance.
Potassiu 2.5 mm 3.65 5.2 6.30 mE 3.6 5.2 Result was
m low ol/L 0 q/d 0 0 below normal
l thus showing
the fluid and
electrolyte
imbalance.