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The interpretation of urinalysis takes into account the results of physical, chemical and microscopic examination and the person's overall condition. Urine test results should always be interpreted using the reference range provided by the laboratory that performed the test, or using information provided by the test strip/device manufacturer. [136]
The signs and symptoms of abnormal urine color are shown as follows: Unexplained urine color other than straw-yellow has continued for a long time. [1] Once observe blood in urine. [1] Clear, dark-brown urine. [1] Risk factors of clinical abnormal urine color include elderly age, strenuous exercise, and family history of related diagnosis. [2]
Under ideal situations myoglobin will be filtered and excreted with the urine, but if too much myoglobin is released into the circulation or in case of kidney problems, it can occlude the kidneys' filtration system leading to acute tubular necrosis and acute kidney injury. Other causes of myoglobinuria include: McArdle's disease
Other things, for example, your medication, your diet and any infections you may experience, can cause the urine to change color. “Your color can vary depending on your hydration status.
The normal number of red blood cells in urine should not usually exceed 3 per high power field. [13] A urine test strip showing positive for blood can also indicate hemoglobinuria, which is not detectable using a microscope due to the lysis of red blood cells in the urinary tract (particularly in alkaline or dilute urine), or intravascular ...
A urine dipstick test may also give an incorrect positive result for hematuria if there are other substances in the urine such as myoglobin, a protein excreted into urine during rhabdomyolysis. A positive urine dipstick test should be confirmed with microscopy, where hematuria is defined by three or more red blood cells per high power field . [ 6 ]
Stomach acidity and dwell time may affect urine color intensity. [1] [2] [3] The presence of beet pigment-protecting substances, such as oxalic acid, in the meal and during intestinal passage, increase the color intensity in the urine. [1] Medications may affect stomach acidity, such as proton pump inhibitors, thereby affecting urine color. [2]
It gives a negative test-result for 25I-NBOMe and many other non-indole-related psychoactives. The reagent will also give a positive result for opium, because of the presence of tryptophan in natural opium. [3] Pyridoxine, present in vitamin supplements, can give positive results to the Ehrlich test, showing a pink colour change. [4]