2. URINE
by-product or fluid secreted by the kidneys,
transported by the ureter to the urinary
bladder and voided through urethra
fluids and materials being filtered by the
kidneys come from the blood and interstitial
fluids
average amount of urine excreted in 24
hours 40- 60 ounces
3. URINE PRODUCTION
Urine production is produced by the process
of:
1. FILTRATION
2. REABSORPTION
3. TUBULAR SECRETION
4.
5. COLOR
NORMAL : clear yellow to yellow orange
Pigment Urochrome
• HEMATURIA- blood in the urine
• MELANURIA- black or dark colored urine caused
by melanoma
• PORPHYRIA- Reddish or brown
• DARK ORANGE OR DARK COLORED – jaundice or
Gilbert’s syndrome
6. ODOR
NORMAL : aromatic odor
urinoid
• PUTRID or STRONGLY AMMONIACAL –
decomposition of urea to ammonia
• FRUITY AROMA- diabetic patients due to large
amount of acetone and ketone bodies
7. TRANSPARENCY
NORMAL : clear and transparent
• ACIDIC URINE- white or pinkish sediments of
amorphous ureates
• ALKALINE URINE- white sediments of amorphous
phosphates
• cloud or “nubecula” – due to the presence of
mucus, leukocytes and epithelial cells
8. pH
NORMAL: range of 4.8-7.5
usually acidic with pH of 6.6
24 hour specimen less acidic due to the
decomposition of urea to ammonia
9. SPECIFIC GRAVITY
NORMAL: 1.008-1.030
• High specific gravity -dehydration or presence of
abnormal solutes (proteins & glucose), diabetic
mellitus, fever, and acute nephritis
• Low specific gravity-chronic nephritis & diabetic
insipidus
10. MEDICAL USE
Diagnostic use or examination
Use for drug tests
Urination is the primary method for excreting
toxins, chemicals and drugs from the body
BIOCHEMICAL USE
Fertilizer
In ancient use (used urine as a bleaching agent
for cleaning clothes and there are even
isolated reports as a teeth whitener)
11. TEST FOR ORGANIC CONSTITUENTS
1. TEST FOR CREATINNINE
urine + picric acid + NaOH orange ppt.
Creatinine- produced from arginine, methionine
and glycine
2. TEST FOR UREA
urea + NaOH + Nessler’s sol’n reddish orange
Urea- principal end product of protein metabolism
12. TEST FOR INORGANIC
CONSTITUENTS
1. TEST FOR CHLORIDES
Urine NaCl crystals + HNO3 + AgNO3
evaporate
white ppt.
amount of Cl varies with intake and excreted NaCl
2. TEST FOR CARBONATES
Urine + HCl slight effervescence
Carbonates are present in the urine in the form of
bicarbonates
13. TEST FOR INORGANIC
CONSTITUENTS
3. TEST FOR SULFATES
Urine + HCl + BaCl2 white ppt (BaSO4 )
Sulfates are derived from sulfur containing
proteins
14. TEST FOR PATHOLOGICAL
CONSTITUENTS
1. TEST FOR GLUCOSE (BENEDICT’S TEST)
Normal urine + benedict’s rgt. Blue sol’n
with white ppt.
Pathological urine + benedict’s rgt. Green
sol’n brown ppt .
15. TEST FOR PATHOLOGICAL
CONSTITUENTS
2. TEST FOR KETONE BODIES (ROTHERA’S TEST)
Normal urine + (NH4)2SO4 + Na nitroprusside
yellow sol’n
Pathological urine + (NH4)2SO4 + Na
nitroprusside red to purple ring
16. TEST FOR PATHOLOGICAL
CONSTITUENTS
3. TEST FOR PROTEINS ( OSGOOD RUSKIN TEST)
Normal urine + acetic acid + NaCl with bubbles
Pathological urine + acetic acid + NaCl
white gelatinous ppt.
Due to the presence of albumin
17. TEST FOR PATHOLOGICAL
CONSTITUENTS
4. TEST FOR BILE ACIDS
Ice bath
Urine urine + sulfur powder
FLOAT- No bile acid present
SINK- Bile acid is present