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URINE
ACTIVITY NO. 13
OBJECTIVES
AT THE END OF THE EXPERIMENT, THE STUDENTS MUST HAVE BEEN ABLE TO:
1. IDENTIFY THE NONPATHOLOGICAL AND PATHOLOGIC CONSTITUENTS OF THE
URINE AND THEIR BASIC CHEMICAL REACTIONS USING FUNDAMENTAL
CHEMICAL PROCEDURES.
2. PERFORM THE EXPERIMENT WITH CARE AND UTMOST RESPONSIBILITY SINCE
NUMBER OF CHEMICALS ARE BEING USED IN THIS ACTIVITY, AND
3. NOTE THE POSITIVE AND NEGATIVE RESULTS OBTAINED IN ALL TESTS.
MATERIALS/ EQUIPMENT
GRADUATED CYLINDER
URINE
ANALYSIS
Beginning of
Laboratory
Medicine
Routine Testing
Richard Bright
RICHARD
BRIGHT
Richard Bright introduced the
concept of urinalysis as part of a
doctor’s routine patient
examination in 1827. By the
1930s, however, the number and
complexity of the tests performed
in a urinalysis had reached a point
of impracticality, and urinalysis
began to disappear from routine
examinations
Two unique characteristics of a urine specimen
account for this continued popularity:
1. Urine is a readily available and easily collected
specimen.
2. Urine contains information, which can be
obtained by inexpensive laboratory tests, about
many of the body’s major metabolic functions.
These characteristics fit in well with the current
trends toward preventive medicine and lower
medical costs. In fact, the Clinical and Laboratory
Standards Institute (CLSI) defines urinalysis as “the
testing of urine with procedures commonly
performed in an expeditious, reliable, accurate, safe,
and cost-effective manner.”
URINE
• THE KIDNEYS CONTINUOUSLY FORM URINE
AS AN ULTRAFILTRATE OF PLASMA.
REABSORPTION OF WATER AND FILTERED
SUBSTANCES ESSENTIAL TO BODY
FUNCTION CONVERTS APPROXIMATELY
170,000 ML OF FILTERED PLASMA TO THE
AVERAGE DAILY URINE OUTPUT OF 1200 ML.
TESTS FOR NORMAL
ORGANIC CONSTITUENTS
60%–90% of nitrogenous material;
UREA derived from the metabolism
of amino acids into ammonia
Procedure
1. Place 10 drops of urine in a test
tube
2. Add 5 drops of 10% HCl, then,
3. Add a few crystals of sodium
nitrite.
4. Note the evolution of N2 gas.
URIC ACID
COMMON COMPONENT OF KIDNEY STONES;
DERIVED FROM CATABOLISM OF NUCLEIC ACID
IN FOOD AND CELL DESTRUCTION
PROCEDURE
1. PLACE 5 ML OF THE URINE IN A BEAKER.
PROCEDU
RE
1.TO 3 ML OF URINE, ADD
SEVERAL DROPS OF HNO3
AND 5 DROPS OF 5%
AGNO3.
PHOSPHATES
OCCURS PRIMARILY AS SODIUM
COMPOUNDS THAT SERVE AS BUFFERS
IN
THE BLOOD
PROCEDURE
1. TO 5 ML OF URINE, ADD DILUTE
NH4OH.
2. OBSERVE THE COLOR OF THE
SOLUTION.
3. WARM THE MIXTURE GENTLY AND
FILTER.
4. TO THE FILTRATE, ADD A FEW DROPS
PATHOLOGICAL CONSTITUENTS
Benedict’s Test
Procedure
1. Place 2-3 mL of Benedict’s reagent in a test
tube, then add 5 mL of urine.
2. Mix thoroughly.
3. Boil it in a water bath for 10-15 minutes
and allow to cool.
4. Take note of the color of the precipitate
formed.
Benedict’s Test
BENEDICT’S TEST IS A VERY SENSITIVE TEST DONE
UNDER MILDLY ALKALINE CONDITIONS.
THE REAGENT CONTAINS CUSO4, NA2CO3, AND SODIUM
CITRATE.
THE FORMATION OF A BRICK RED PRECIPITATE OF CU2O
IS CONSIDERED POSITIVE.
MOST ALDEHYDES HAVE THE ABILITY TO REDUCE
BENEDICT’S REAGENT. OTHER COMPOUNDS LIKE
FORMIC ACID, HYDRAZOBENZENE, PHENOLS,
PHENYLHYDRAZINE, PYROGALLOL, AND URIC ACID WILL
ALSO GIVE A POSITIVE RESULT IN THIS TEST.
ALBUMIN
Albumin is the major serum protein found in normal
urine. Even though it is present in high
concentrations in the plasma, the normal urinary
albumin content is low because the majority of
albumin presented to the glomerulus is not filtered,
and much of the filtered albumin is reabsorbed by
the tubules.
1. Albumin: Heller’s Ring test
POSITIVE REACTION
1.The test tube is then observed for the formation of a white
ring at the junction of the two layers.
PROCEDURE
1. To 1.5 mL concentrated HNO3 in a test tube, deliver 1
mL urine down the side of the tube such that it forms a
separate layer.
2. The presence of protein is shown by a fluffy zone
(sometimes a white precipitate) at the urine-acid
interface.
BLOOD
Hematuria is most closely related to disorders of renal or
genitourinary origin in which bleeding is the result of trauma or
damage to the organs of these systems. Major causes of hematuria
include renal calculi, glomerular diseases, tumors, trauma,
pyelonephritis, exposure to toxic chemicals, and anticoagulant
therapy. The laboratory is frequently requested to perform a urinalysis
when patients presenting with severe back and abdominal pain are
suspected of having renal calculi. In such cases, hematuria is usually
of a small to moderate degree, but its presence can be essential to the
diagnosis. Hematuria of nonpathologic significance is observed
following strenuous exercise and during menstruation.
Benzidine Test
a sensitive test for the presence of blood (as in urine
or feces) based on the production of a blue color upon
contact with a solution of benzidine, hydrogen
peroxide, and glacial acetic acid
PROCEDURE
a. Place about 3 mL of urine suspected of containing blood in
a porcelain evaporating dish and add 5 drops of benzidine
reagent (a saturated solution of benzidine in glacial HAc).
(Caution: Benzidine is mutagenic and carcinogenic.)
b. Mix, then add 2 drops of 3% H2O2.
c. Spread this solution over the surface of the dish and
describe the color that soon forms.
BILE PIGMENTS
Bilirubin is a yellowish pigment found in bile, which is a fluid
produced by the liver and stored in the gallbladder. Bilirubin, a
highly pigmented yellow compound, is a degradation product of
hemoglobin.
Bile Pigments: Gmelin’s Test
Gmelin's test is a chemical test used for detecting the presence of bile pigments in urine. It is named after
Leopold Gmelin, who introduced the test. Five millilitres of urine is slowly added to five millilitres of
concentrated nitric acid in a test-tube. Different coloured rings between the two layers are visible if bile
pigments are present as they are oxidised to various chemical products. Nitric acid is used as the
oxidising agent. Blue, green and violet rings are seen if bilirubin is present.
PROCEDURE
1. Place 1 mL concentrated HNO3 in a test tube.
2. By means of a pipet, deliver down the side of
the tube 5 mL of urine. Do not shake.
3. Note the color of the ring which appears at
the interface of the 2 liquids.
4. Green, blue, or violet rings appear if
bilirubin is present.
BILE ACIDS
Bile is generated by the liver and is stored by
the gall bladder. Whenever food is ingested,
bile is released into the duodenum. Bile salts
formation is initiated with the disintegration of
red blood cells. Rupturing of the damaged and
old red blood cells is brought about as they
pass through the liver or spleen.
Pettenkofer’s Test
Bile salt will reacts with hydroxymethylenephurphural to forms red solution.
Hydroxymethylenephurphural is formed of sugar that dehydrated by sulphuric acid.
Procedure
1. Place 20 drops of urine in a test tube, then add 5 drops of
5% sucrose.
2. Let 2 mL concentrated H2SO4 slide down the side of the test
tube.
3. Do not shake.
4. A red ring develops at the point of contact of the two
solutions.
5. Do not mistake the brown color resulting from the charring
of sucrose by H2SO4 for the red ring.
6. Stir the mixture, and note the spreading of the red color
throughout the liquid.
The End