What is the purpose of this test?
The Urinalysis, Routine With Microscopic Examination on Positives is a diagnostic tool designed to evaluate various components of urine to detect and monitor a range of health conditions, including urinary tract infections (UTIs), kidney disorders, liver disease, and diabetes. By analyzing physical characteristics, chemical composition, and, when necessary, microscopic elements of urine, this test provides valuable insights into an individual's overall health status.
The test begins with a routine analysis assessing factors such as color, clarity, specific gravity, pH, and the presence of substances like protein, glucose, ketones, blood, leukocyte esterase, nitrites, bilirubin, and urobilinogen. If any of the following—protein, leukocyte esterase, occult blood, or nitrites—are detected, a microscopic examination is conducted to identify cells, crystals, bacteria, or other substances that may indicate infection, inflammation, or other pathological conditions. This comprehensive approach aids healthcare providers in diagnosing conditions early and formulating appropriate treatment plans.
The Urinalysis, Routine With Microscopic Examination on Positives includes:
- Color: Assesses urine hue, which can indicate hydration status or the presence of certain substances.
- Appearance: Evaluates clarity; cloudiness may suggest infection or the presence of crystals.
- Specific Gravity: Measures urine concentration, reflecting kidney function and hydration levels.
- pH: Determines acidity or alkalinity; abnormal levels may indicate kidney stones or infection.
- Protein: Detects proteins; elevated levels can signify kidney disease.
- Glucose: Identifies sugar in urine, often associated with diabetes.
- Ketones: Presence may indicate uncontrolled diabetes or starvation.
- Occult Blood: Detects hidden blood, which can be a sign of infection, stones, or other conditions.
- Leukocyte Esterase: Indicates white blood cells, suggesting infection.
- Nitrite: Presence often points to bacterial infection.
- Bilirubin: Elevated levels may reflect liver disease.
- Urobilinogen: Increased amounts can indicate liver dysfunction or hemolytic disorders.
If protein, leukocyte esterase, occult blood, and nitrites are all negative, microscopic examination is not performed; only the above parameters are reported.
Who should get this test?
- Individuals exhibiting symptoms of urinary tract infections, such as frequent urination, burning sensation, or cloudy urine.
- Patients with known kidney conditions or those at risk of kidney disease.
- Individuals with diabetes or at risk of developing diabetes.
- Those experiencing unexplained fatigue, swelling, or high blood pressure.
- Patients undergoing routine health evaluations or pre-surgical assessments.
- Individuals monitoring the effectiveness of treatments for urinary or kidney-related conditions.
When should I order the Urinalysis, Routine With Microscopic Examination on Positives?
Individuals may consider ordering this test if they have symptoms or exposure concerns related to urinary tract infections or kidney issues.
Symptoms to consider:
- Frequent or painful urination.
- Cloudy, dark, or foul-smelling urine.
- Lower abdominal or back pain.
- Unexplained fever or chills.
- Swelling in the hands, feet, or face.
- Persistent fatigue or weakness.
If you experience these symptoms or suspect issues with your urinary or kidney health, the Urinalysis, Routine With Microscopic Examination on Positives can provide essential information to assist you and your healthcare provider in diagnosing and managing potential health concerns.
