Urinalysis with Microscopic


Abbrev Code:UAI   
Order Code:LAB3806Order Name:Urinalysis with Microscopic
Synonyms:UA, Routine; Fat Urine Qualitative; UAI - Chemical Screen Reflex to Microscopic
Methodology:Depending on testing location: multiple reagent strip, microscopy, automated chemical strip, and/or flow imaging
CPT Codes: 81001 x1
Test Includes:Appearance, bilirubin, blood, color, glucose, ketones, leukocyte esterase, nitrite, pH, protein, specific gravity, urobilinogen and microscopic examination of sediment.
Turnaround Time:Performed and reported 24 hours/day.
Associated Links:

Urine Collection Procedure, Urinalysis Tests



Collection Instructions

Specimen:Urine, random collection
Optimal Volume:Submit entire collection; analysis requires 3 mL
Minimum\Peds Volume:1 mL; collection volumes of 1-3 mL will be analyzed but may not be concentrated before examination of the sediment.
Container:Plastic leakproof container, sterile
Alternate Containers: 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:Specimen collected with preservatives other than BD Vacutainer Plus Urinalysis Preservative tube; stored at room temperature >2 hours; stored at refrigerated temperature >24 hours; fecal contamination. Neonatal urine specimens collected on cotton balls.


Processing and Shipping

Specimen Processing:Store in refrigerator.
Shipping Instructions:Ship at refrigerated temperature.
Stability:BD Vacutainer Plus Urinalysis Preservative Tube: 72 hours at room temperature or refrigerated temperature.
Plastic Leakproof Container: 2 hours at room temperature; 24 hours refrigerated
Test Performed at or Referral Lab Urinalysis  (Clinics, CSC Maple Grove, CSC Mpls, Grand Itasca, Lakes, Northland, Range, Ridges, Southdale, UMMC East Bank, UMMC West Bank)


Interpretive

Reference Range:
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, 0-2d: About 1.012
Infant, 3d-5 mo: 1.002-1.006
6 mo & older: 1.003-1.035
 
 
Red blood cells/HPF 0-2   
White blood cells (neutrophils)/HPF 0-5
Hyaline Casts/LPF 0-2
Renal epithelial cells/HPF Neg
Transitional epithelial cells/HPF 0-1
Squamous epithelial cells/HPF 0-1
Bacteria/HPF Neg
Abnormal crystals Neg
     


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