Urinalysis Reflex to Microscopic - Lakes, Maple Grove, Northland, Ridges, Range, Southdale, UMMC East, UMMC West, CSC


Sunquest Code:UMIR  
Epic Code:LAB3844Epic Name:Urine Macrocopic with Reflex to Micro
Synonyms:UMIR - Chemical Screen Reflex to Microscopic
Methodology:Multiple reagent strip, microscopy, automated chemical strip and flow imaging
CPT Code:----------CPTCODES HERE----------
Test Includes:Appearance, bilirubin, blood, color, glucose, ketones, leukocyte esterase, nitrite, pH, protein, specific gravity, urobilinogen/porphobilinogen.
Turnaround Time:Performed and reported 24 hours/day.
Special Instructions:If the microscopic examination is required regardless of the screen test results, the physician should request "sediment examination required".
Associated Links:

Urine Collection Procedure



Collection Instructions

Specimen:Urine, random collection
Optimal Volume:Submit entire collection; analysis requires 1 mL.
Container:Plastic leakproof container, sterile (BD Vacutainer Plus Urinalysis Preservative Tube)
Collection Instructions:Specimen of choice is a first morning, mid-stream, clean catch urine. Refrigerate the urine if it cannot be delivered immediately.
Causes for Rejection:Collected with preservatives other than BD Vacutainer Plus Urinalysis Preservative tube, stored at room temperature > 2 hours, fecal contamination. Neonatal urine specimens collected on cotton balls.


Processing and Shipping

Specimen Processing:Aliquot 12 mL, 1 mL minimum. Store in refrigerator.
Shipping Instructions:Ship at refrigerated temperature.
Test Performed at or Referral Lab Urinalysis  (University of Minnesota Health Maple Grove Clinics, Fairview Range - FRMC, UMMC-West Bank, UMMC-East Bank, Fairview Lakes - FLMC, Fairview Ridges - FRH, Fairview Northland - FNMC, Fairview Southdale - FSH, M Health Clinic and Surgery Center)


Interpretive

Reference Range:

 

Reflex criteria to run microscopic when UMIR is ordered:

   Bld – tr or higher

   Pro = 10 or higher

   Nit = pos

   Leuk = tr or higher

   Col = color other than straw, light yellow or yellow

   Clear = sl. cloudy or higher

 

pH

5-7

Protein (albumin)

Neg

Protein (albumin) in concentrated specimen

Trace

Blood  (hemoglobin)

Neg

Nitrite

Neg

Leukocyte

Neg

Glucose

Neg

Ketones

Neg

Bilirubin (conjugated)

Neg

Urobilinogens

0.0-2.0 mg/dL

Specific Gravity

Newborn (0-2 d)

Infant (3 d-5 mo)

6 mo and older

 

About 1.012

1.002-1.006

1.003-1.035

 

 

Use:Screen for renal and urinary tract diseases and metabolic diseases.


Click HERE to Report test errors or omissions.
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