Greyhound urine analysis

Similar documents
Chapter 14 Urinalysis, Body Fluids and Other Specimens. Objectives:

Chapter 23. Composition and Properties of Urine

Care of the Catheterised Patient and Urinalysis

THE URINALYSIS REAGENT STRIPS

Urinalysis (UA) provides information about the urinary

EXECUTIVE BLOOD WORK PANEL

Renal Topics 1) renal function 2) renal system 3) urine formation 4) urine & urination 5) renal diseases

Urinalysis and Body Fluids CRg. Chemical Exam of Urine - bilirubin. Chemical Exam of Urine - bilirubin. Unit 3. Chemical Examination of Urine

URINE DIPSTICK Multistix 10SG

LECTURE 1 RENAL FUNCTION

Urinalysis and Body Fluids CRg

Adams Memorial Hospital Decatur, Indiana EXPLANATION OF LABORATORY TESTS

Diabetes and kidney disease. The foundation of kidney care.

Blood in the urine (hematuria)

Dehydration & Overhydration. Waseem Jerjes

Urinalysis: The Underappreciated Diagnostic Tool Megan Morgan, VMD, DACVIM

1333 Plaza Blvd, Suite E, Central Point, OR *

Chronic Kidney Disease and Diabetes

URINARY CATHETER CARE

Diagnostics: Page 2 of 5

Visual Acuity. Hearing. Height and Weight. Blood Pressure MEASURED VALUE

Information for Childhood Cancer Survivors. Kidney Problems

EUROPEAN COMMISSION HEALTH & CONSUMER PROTECTION DIRECTORATE-GENERAL

Title: Microbiology Urine Screening Effective date: 05/08/2013. Summary of Significant Changes at this Revision

Bladder Health Promotion

NUTRITION IN LIVER DISEASES

Essentials of Human Anatomy & Physiology. Chapter 15. The Urinary System. Slides Lecture Slides in PowerPoint by Jerry L.

Importance of water for weight loss

GREEN SHEET. California Department of Forestry and Fire Protection (CAL FIRE)

High Blood Pressure and Chronic Kidney Disease. For People With CKD Stages 1 4

EFFIMET 1000 XR Metformin Hydrochloride extended release tablet

Liver Function Tests. Dr Stephen Butler Paediatric Advance Trainee TDHB

Eating, pooping, and peeing THE DIGESTIVE SYSTEM

Open the Flood Gates Urinary Obstruction and Kidney Stones. Dr. Jeffrey Rosenberg Dr. Emilio Lastarria Dr. Richard Kasulke

Urinary Tract Infections

URINE TESTING USING THE MULTISTICK

Chapter 2 What Is Diabetes?

Diet for Kidney Stone Prevention

The digestive system eliminated waste from the digestive tract. But we also need a way to eliminate waste from the rest of the body.

A PRINTED copy of this guideline may not be the most recent version. The OFFICIAL version is located on IHNET at the Policies & Procedures Home Page

LABORATORY 3: Microscopic Urinalysis

THE KIDNEY. Bulb of penis Abdominal aorta Scrotum Adrenal gland Inferior vena cava Urethra Corona glandis. Kidney. Glans penis Testicular vein

X-Plain Kidney Stones Reference Summary

1. What is the prostate-specific antigen (PSA) test?

Your Kidneys: Master Chemists of the Body

Bladder Health Promotion

Policy S:PC-2110 v15. Fairview Health Services Department Laboratory / Nursing Laboratory Acute Care: Section Collection Category Provision of Care

Feline Lower Urinary Tract Disease (FLUTD)

URINARY (RENAL) STONE (NEPHROLITHOISIS) An Overview

Bile Duct Diseases and Problems

Insulin is a hormone produced by the pancreas to control blood sugar. Diabetes can be caused by too little insulin, resistance to insulin, or both.

Treatment Recommendations for CKD in Cats (2015)

CHEMISTRY. Updated Monday June 25, CHEMISTRY - BASIC PANEL * may be asked to fast for this test. Range M F 23-29

Kaiser Oakland Urology

Nutritional Support of the Burn Patient

Amylase and Lipase Tests

Published on: 07/04/2015 Page 1 of 5

URINE COLLECTION, PREPARATION AND HANDLING

ETIOLOGIC CLASSIFICATION. Type I diabetes Type II diabetes

Acid/Base Homeostasis (Part 4)

Diabetic nephropathy is detected clinically by the presence of persistent microalbuminuria or proteinuria.

UNDERSTANDING YOUR LAB TESTS

Functions of Blood. Collects O 2 from lungs, nutrients from digestive tract, and waste products from tissues Helps maintain homeostasis

CHAPTER 20: URINARY SYSTEM

Blood Transfusion. There are three types of blood cells: Red blood cells. White blood cells. Platelets.

Preventing Catheter Blockages: A Guide for Health Professionals

TOTAL PROTEIN FIBRINOGEN

UNIT 11 - URINARY SYSTEM LECTURE NOTES

What is creatinine? The kidneys maintain the blood creatinine in a normal range. Creatinine has been found to be a fairly reliable indicator of kidney

Feline Cystitis (Feline Lower Urinary Tract Disease)

If your doctor has ordered laboratory tests, it s natural

serum protein and A/ G ratio

MEDICATION GUIDE ACTOPLUS MET (ak-tō-plus-met) (pioglitazone hydrochloride and metformin hydrochloride) tablets

Topic 4: Digestion and Nutrition

Kidney Stones. This reference summary will help you understand kidney stones and how to treat and prevent them. Kidney

High Blood pressure and chronic kidney disease

Hepatitis C. Laboratory Tests and Hepatitis C

Acid-Base Balance and the Anion Gap

Identifying and treating long-term kidney problems (chronic kidney disease)

Triple phosphates (Magnesium ammonium phosphates) (Struvite)

Provided by the American Venous Forum: veinforum.org

10-ml Graduated cylinder 40 ml 3% Hydrogen peroxide solution (found in stores) Straight-edged razor blade Scissors and Forceps (tweezers)

Blood Transfusion. Red Blood Cells White Blood Cells Platelets

Protocol for Macroscopic and Microscopic Urinalysis and Investigation of Urinary Tract Infections

Select the one that is the best answer:

Digestive System Why is digestion important? How is food digested? Physical Digestion and Movement

GFR (Glomerular Filtration Rate) A Key to Understanding How Well Your Kidneys Are Working

C. difficile Infections

ACID- BASE and ELECTROLYTE BALANCE. MGHS School of EMT-Paramedic Program 2011

Guideline for Microalbuminuria Screening

MEDICATION GUIDE KOMBIGLYZE XR (kom-be-glyze X-R) (saxagliptin and metformin HCl extended-release) tablets

Albumin. Prothrombin time. Total protein

Urinalysis Compliance Tools. POCC Webinar January 19, 2011 Dr. Susan Selgren

Ketones and Ketoacidosis

Clinical Aspects of Hyponatremia & Hypernatremia

Prevention and Recognition of Obstetric Fistula Training Package. Module 8: Pre-repair Care and Referral for Women with Obstetric Fistula

Urinary Tract Infections

Kidney or renal disease

Catalase Enzyme Lab. Background information

Transcription:

Greyhound urine analysis Greyhound Urine analysis There is a tendency to consider a dipstick analysis as a complete urine analysis. Unfortunately in doing so, very important parts of a urine analysis are missed out on, namely specific gravity and sediment examination. While a dipstick test is available for specific gravity, accuracy is not always as good as required, and sediment examination provides essential information on red blood cells, white blood cells, bacteria, casts, crystals and other cells in the urine. There again, while specific gravity provides a good indication of the ability of the greyhound to retain water. Any specific gravity test, if looked at in isolation without considering the hydration of the dog, forced fluid intake such as extra water added to the meal, the addition of alkalizing diuretics to the diet, or the effects of a recent run, may provide a misleading result. Correct sample collection is also of extreme importance, a clean container must be used as any contamination, and even soap or detergent will alter test results. It is also best, if first urine of the morning can be collected, and a midstream sample if possible, to reduce the chance of bacterial contamination. Wiping the animal first with a clean tissue will also help in this regard. It can not be stressed enough that the sample should be tested when the urine is fresh, any sample left longer than 20 minutes should be refrigerated and tested within a few hours. Specific Gravity Specific gravity 1.045 A specific gravity of this level and higher in dogs with slight dehydration indicates normal kidney function.

Specific gravity 1.045----1.030 In dogs with no medical problems and with normal hydration, BUN, and serum Creatinine, this range is considered normal. However, in dogs with dehydration and or a high BUN reading, this may indicate a slight loss of urine concentrating ability. Specific gravity 1.029----1.013 Urine specific gravity in this range may be normal in dogs, when no need to concentrate urine exists. However in greyhounds with dehydration, further tests to check kidney function may be indicated, as in that case only slight ability to concentrate urine exists. Specific gravity 1.012----1.008 No urine concentration has occurred in urine with this specific gravity, there again that may be normal in dogs with no need to retain water. However, if dehydration exists, values in this range are definitely abnormal and a blood chemistry profile is indicated. Specific gravity 1.008 Specific gravity at this range and lower may still be normal if the dog has a need to excrete extra water, but are abnormal if any dehydration exists and would indicate the need for a blood chemistry profile, as well as a complete urine test, including sediment examination. If these are normal, an Anti Diuretic Hormone response test should be carried out. Urine Ph Urine Ph in greyhounds may vary each day, as the kidneys maintain and adjust electrolyte and acid-base balances in relation to dietary intake, or a hard run. Therefore, no specific urine Ph is abnormal, except as it relates to other findings from urine analysis, and to the acid-base and electrolyte balance as a whole. Urine Ph 7.1 and lower Urine in this range is acidic or neutral, and because greyhounds are usually fed only one main meal each day they generally have a Ph in this range. However, if the urine is markedly acidic (6.0 or lower) a systemic problem may exist and further investigations should be undertaken. Urine Ph 7.0 and higher

Alkaline urine may be caused by addition of excessive amounts of alkalizing medications to the diet, however consistent alkaline urine may also be caused by a urinary tract infection. Some of the types of bacteria that cause urinary tract and kidney infections produce an enzyme that breaks down to ammonia and turns the urine alkaline. Consistent alkaline urine in dogs may also cause the formation of a type of kidney stone (crystals); these may also be caused by the indiscriminate use of sulphonamide antibiotics. Another reason for persistent alkaline urine may be the inability of the kidneys to re-absorb bicarbonate. Any consistently alkaline urine should be investigated, including a urinary sediment examination. Protein Protein in the urine is usually tested for by dipstick analysis, however this test does not provide for an accurate quantity of protein in the urine, nor are dipsticks capable of detecting some proteins in the urine associated with plasma cell damage. Protein urine dipstick tests are qualitative and are recorded as a trace to 4+. To accurately interpret the significance of protein in the urine, the urine specific gravity must be known. Simply because a small amount of protein may read as negative in urine with a specific gravity of 1.010 but positive in urine concentrated to 1.045. A small amount of protein in the urine is normal, provided that the specific gravity is in the normal range for the state of the dog being tested, however any amount of protein in the urine at a specific gravity of less than 1.030 may be abnormal. Blood in the urine can provide a false positive reading for protein in the urine, because proteins are present in blood in large quantities, compared with the amount of protein in normal urine. There are a number of diseases that cause increased quantities of protein in the urine including kidney disease; therefore any significant increase in protein in the urine should be investigated. Ketones

Any reading of ketones in the urine is abnormal, false positive reactions are uncommon but could occur in highly concentrated and pigmented urine. Causes of a positive reading may include impaired liver function, persistent fever, and chronic diseases involving blood glucose levels. Glucose Normal urine does not contain glucose; therefore any glucose reading is abnormal. The most common cause of glucose in the urine is an elevated blood sugar to a level that exceeds the ability of the body to re-absorb the glucose, however this is extremely rare if not unheard of in greyhounds. Bilirubin Some bilirubin in the urine of dogs is normal, however the amount of bilirubin should be compared with the urine specific gravity. A trace to 1+ of bilirubin in urine with a specific gravity above 1.035 is normal, any increase above this level is abnormal, and may indicate some degree of liver damage. Urobilinogen Far too many problems exist in the measurement of urobilinogen using a dipstick test, and a false negative or a false positive result is common, and is therefore not recommended. Blood A positive test to blood in the urine may indicate the presence of haemoglobin, myoglobin, or intact red blood cells. Any positive blood urine test warrants further investigation. Urine colour Urine is normally yellow to amber in colour, and depth of colour will depend on urine volume. However, dark urine does not necessarily indicate that the kidneys are concentrating the urine in a fluid saving effort. Red Coloured Urine The discoloration of the urine will depend on the type of pigment causing the discoloration and the urine Ph.

Hemoglobinemia acid urine colours the urine a smoky brown while in alkaline urine the colour is red. If a urine sample is to be checked for Red Blood Cells it should be done as soon as possible after the sample has been collected, as RBC s start to breakdown within minutes, releasing HAEMOGLOBIN into the urine. (HEMOGLOBINURIA) The presence of blood in the urine may indicate a variety of diseases ranging from kidneynephritis, cysts or trauma to infections in the bladder, urethra, prostate, or genital area. While HAEMOGLOBIN only in the urine may indicate a blood disease, bacterial infection, red blood cell parasites, or even some type of chemical poisoning. Brown Red Urine Myoglobin in the urine (Myoglobinuria) is characterized by brownish red urine. Myoglobin is released from the muscle tissue following excessive exertion (RHABDOMYOLYSIS) or trauma such as torn muscle fibres. The presence of Myoglobin in the urine indicates the need for a thorough muscle check, and a blood test for muscle enzymes to rule out muscle disease. Myoglobin in the urine may also adversely affect the kidneys (toxicity) and the greyhound should receive intense fluid therapy. Blood, Haemoglobin and Myoglobin will all give a positive result to occult blood with a dipstick test.