Thank you for the videos... These are so well designed that anybody can understand and evaluate one's UA report. I have still a question ... I had a UTI 1 month ago and hospitalised due to repeated fever, severe sweating and fall in sodium level..also due to the Hydrochloro thyazine component in my hypertension medication.... Now I am quite Okay ..but my recent UA report shows that I have Plenty of pus cells along with bacteria ( with double positive sign in bracket)... Culture report is still to come,,, No symptom ... Taking L-cin as prescribed by the doctor. Why it is still present ???? please demonstrate ..
Hi, I know this is an old video but hopefully you will still see this. I haven't been well for a few years with ME/fibromyalgia, hypothyroidism and hypothalamic dysfunction. I have had very little thirst for years and can go all day without drinking or urinating so I thought it might be a good idea to keep an eye on my kidneys as far as I could. Plus I have very dark, cloudy urine a lot of the time. I bought some strips; when you have so many complaints you really don't want to bother doctors with every symptom or concern. I have been using them properly and have a photographic record. No leukocytes or nitrites. Small traces of protein. But this is the thing that puzzled me and I can't find any help in analysing it; 4 tests over 3 days in a row, my PH varied from right at the top of the scale to almost the bottom and back again, covering that range in one day. Day 1 (17:30) - PH 8.5, Day 2 (13:55) - PH 5.5, Also Day 2 (22:19) - PH 8.5 , Day 3 (12:02) - PH 5.5. Day 2, low PH coincided with blood at +25 Both low PH results coincided with high SG. I have done 2 tests at each time just to double check and because I have plenty of strips anyway. If you can help explain what this might mean that would be fantastic. Let's say you've helped already as I now have this all typed out if I have to take to a doctor. 😊 I would really rather avoid that if it's not necessary, just to avoid that look on their face as soon as you start talking about taking medical matters into your own hands.
Hey Eric, I saw your Ikea Hack lol I recognized you right away. Your lectures on here are my favorite when i've got some downtime. Keep doing these, they are very well put. Thank you
+Sharjil H Thanks! I'm still not really sure what caused that Ikea video to go viral last week...totally random. If only my MedEd videos saw that much traffic!
I know of one other cause of a false positive heme test in urine. That is menstruation. Of course, if you are getting a urinalysis from a patient with a catheter, it isn't an issue. But if it is from your average female patient and she happens to be on her period when you get the urinalysis, then contamination with menstrual fluid will likely occur to the point that the urine looks red and turbid and thus any test for blood will be positive because the urine got contaminated by uterine bleeding.
The timing of the interpretation may have been off, or maybe the dipstick had expired. If it's neither of those things, it may just be a bad batch of dipsticks.
+Chintala Venkatarakesh Someday, but with so many requests, I'm unable to offer a specific estimate of when I (or another contributor) might get to them.
It's commonly believed that the first void of the morning tends to be more concentrated, since people don't drink while they are sleeping. Therefore, the urine dipstick will be more likely to be positive than from urine samples later in the day (i.e. it increases both the true positive and false positive rates). So if you want to be absolutely sure nothing gets missed, first thing in the morning is best. However, if you also want to balance that with not getting worked up over a concerning result which later turns out to be wrong, then waiting until later might be better. If you aren't sure which is best for your specific situation, then I recommend talking with your doctor.
I have had large leucocytes in my urine for last 6 urine tests .Urine ph is 5 for 8months and well as micro blood. Gravity hangs around 1.010 my Urination go to frequent to hardly any .. slight stomache pain and weight loss. doctor does not want to address this. He says I am woman and blood is normal in urine and to just eat more sleep more.. is this normal? should I go elsewhere for help Thank you
Have you heard of Turmeric powder and or ginger powder causes urine to be slightly very very pale fluorescent green ? I only thought asparagus did this 😊
please post videos regarding various medical disorders and evaluation of various conditions such as anemai it will be very useful to many medical students
+Chintala Venkatarakesh Anemia is currently planned for the winter, but I'm hopeful that I'll be able to bring a heme/onc specialist on board, who might choose to cover the topic sooner.
The diagnosis of a UTI depends on both the presence of consistent symptoms (e.g. frequent urination and/or painful urination), findings on UA (+ leukocyte esterase +/- positive nitrites), and a positive urine culture (usually omitted in stable, otherwise healthy outpatients). The presence or absence of nitrites in a patient with a UTI depends upon the bacteria causing the infection - some bacteria create nitrites and some don't. So, in a patient with symptoms of a UTI, who has positive leukocyte esterase and negative nitrites, I'd say that a UTI is still more likely than not - particularly if there is no other obvious reason for the leukocytes (e.g. recent instrumentation of the GU tract). However, if this is a frequently repeating pattern for the patient - urinary symptoms with leukocytes and negative nitrites - it may be best to send off a urine culture to confirm or refute the presence of a true infection.
A person can either pee directly into a small container, in which case its best for a "mid stream" collection, if possible. That is, pee into the toilet for a few seconds, briefly hold, then pee into the container for a quick moment. (It takes a little coordination...) Or for patients with a Foley catheter and catheter bag, urine can be taken from the bag, but this is generally not considered to be as accurate for identifying most abnormalities. Do *not* put the dipstick directly into the urethra!
5:03 Specific gravity 6:13 PH 7:13 Glucose 8:07 Blood 8:36 protein (albumin) 11:15 leucocytes/nitrites chart 11:55 ketones 13:55 bilirubin/urobilinogen, chart: 16:06 These time stamps are for me, parts I found of interest If have blood protein leucocytes?
I suspect the folks in the lab who do this routinely have the order and colors memorized. If you are doing it yourself just one time, probably easiest to have a helper.
Can someone tell me what the meaning of pluses is? Like what +means for RBC and ++, +++ What's the difference between 3+ and +++? And does it make a difference for RBC, WBC, and bacteria or they mean the same amount?
There may be different detection thresholds for different brands of urinalysis test strips. In other words, you would need to consult the specific package insert for the strips to know how to translate the number of pluses to a specific numerical range. Urinalysis test strips do not directly detect RBCs or WBCs, and I would not use any strips that imply they do. In actuality, they detect globulin protein and an enzyme called leukocyte esterase, which are used as imperfect surrogates for RBCs and WBCs, respectively. However, "3+" and "+++" are synonymous.
I find this too technical. I’d like to be able to know do I have a bladder infection? Which one do I look at, what is a normal reading, what is a high reading indicating a bladder infection.
It means no amount of that substance was detected, though as the video discusses (if memory serves me correct), there are a few reasons for some false negatives (i.e. the dipstick can be "negative" for something but that something is still present). For example, some specific kinds of proteins and ketones are not picked up by the dipstick.
@@StrongMed i dont understand because i peeed in the cup and the nurse then dipped a multi color strip and inserted it into a machine and it printed a recipe with all negative
@@manuelsalazar9172 This does not constitute personal medical advice, and you should of course consult with your own medical doctor, but a urine dipstick that is "all negative" is a normal result.
Thank you for this video once again, I can't thank you enough. I recommend your videos to everybody! 👏🏽👏🏽👏🏽
+Dominique Pordeus You're most welcome. Thanks for passing on the videos to others!
Yes it is fine enough 👍👍
⁰
Many many many thanks Dr. Eric for your lectures...Please we need a pdf files for these amazing lectures..
I love your videos- amazingly made. Thank you so much.
Subscribed! This channel is more useful and helpful and concise than most books!!! Thank you!!!
Wow thank you so much for this video. I don't know why I was struggling reading a urine test strip, now I know how to use it correctly.
thank you so much, it's very helpful and pleasant to watch your videos
THANK YOU FOR SHARING YOUR KNOWLEDGE IN THE MOST EASIEST WAY POSSIBLE. MAY GOD BLESS YOU!
Daadayacx
I stumbled here after searching all over for hours. i was trying to understand the fixed SG for AKI patient. I am so grateful. God bless you.
Are you physician or nurse
@@Entoreels RN
have an interview tomorrow. It was really helpful
Many thanks Doctor
I can say u re a life saver really
I recommend ur videos to all my class
So well-explained. Thank you!!
This reminded me of my disease IC. You should do a lecture on it. I get urinalysis' done frequently.
these videos are useful to all medical fraternity including working staff
Thank you Dr Strong , great lecture.
This is such a good video. Thank you.
Excellent. Very detailed explanations on each👍👍👍💕💕💕🙏🙏🙏
outstanding instructor ever!
Great video! Keep it up.
Another cause of glycosuria is taking SGLT-2 inhibitors for DM (that is well-controlled).
Very good video. I learned a lot.
Thank you for the video you invite us to remind a lot on urine microscopy.
Thank you very much for a clear explanation of dipstick.
This was such a great review.
This was very informative!
Many thanks to dr.eric 🙏
It is awesome and I can't thank you enough
exellent, thank you very much for sharing a great work
Thank you very much, that was very helpful.
Thank you that’s was brilliant !
Thank you so much you helped me a lot
it was very very helpful .. thank u so much
Good video - explains a lot
Thank you for the videos... These are so well designed that anybody can understand and evaluate one's UA report.
I have still a question ... I had a UTI 1 month ago and hospitalised due to repeated fever, severe sweating and fall in sodium level..also due to the Hydrochloro thyazine component in my hypertension medication.... Now I am quite Okay ..but my recent UA report shows that I have Plenty of pus cells along with bacteria ( with double positive sign in bracket)... Culture report is still to come,,, No symptom ... Taking L-cin as prescribed by the doctor. Why it is still present ???? please demonstrate ..
it's so helpful thank you sir
Hi, I know this is an old video but hopefully you will still see this. I haven't been well for a few years with ME/fibromyalgia, hypothyroidism and hypothalamic dysfunction. I have had very little thirst for years and can go all day without drinking or urinating so I thought it might be a good idea to keep an eye on my kidneys as far as I could. Plus I have very dark, cloudy urine a lot of the time. I bought some strips; when you have so many complaints you really don't want to bother doctors with every symptom or concern. I have been using them properly and have a photographic record.
No leukocytes or nitrites. Small traces of protein.
But this is the thing that puzzled me and I can't find any help in analysing it; 4 tests over 3 days in a row, my PH varied from right at the top of the scale to almost the bottom and back again, covering that range in one day.
Day 1 (17:30) - PH 8.5, Day 2 (13:55) - PH 5.5, Also Day 2 (22:19) - PH 8.5 , Day 3 (12:02) - PH 5.5.
Day 2, low PH coincided with blood at +25
Both low PH results coincided with high SG.
I have done 2 tests at each time just to double check and because I have plenty of strips anyway.
If you can help explain what this might mean that would be fantastic. Let's say you've helped already as I now have this all typed out if I have to take to a doctor. 😊
I would really rather avoid that if it's not necessary, just to avoid that look on their face as soon as you start talking about taking medical matters into your own hands.
Thanks for your information 💁♀️
thanks, it's very helpful 👍👏
Excellent explanation, thank you so much
THANK YOU SO MUCH!!!
Perfectttttt🎉🎉🎉🎉 don’t know how to thank you!
İ preparacited your explanation
my lecturer used this video to guide us on UA, niceeee ✨✨
I hope your class found it helpful! Can I ask what school you are from?
@@StrongMed yes, the video is great. I'm from medical courses in one of Malaysia university 😆
Hey Eric, I saw your Ikea Hack lol I recognized you right away.
Your lectures on here are my favorite when i've got some downtime. Keep doing these, they are very well put.
Thank you
+Sharjil H Thanks! I'm still not really sure what caused that Ikea video to go viral last week...totally random. If only my MedEd videos saw that much traffic!
+Eric's Medical Lectures haha! with time they will!
For now, enjoy being crowned the best dad ever!
I saw it too it was awesome !
I know of one other cause of a false positive heme test in urine. That is menstruation. Of course, if you are getting a urinalysis from a patient with a catheter, it isn't an issue. But if it is from your average female patient and she happens to be on her period when you get the urinalysis, then contamination with menstrual fluid will likely occur to the point that the urine looks red and turbid and thus any test for blood will be positive because the urine got contaminated by uterine bleeding.
What if the color of a particular result on the strip doesn’t remotely match any of the test result colors displayed on the box?
The timing of the interpretation may have been off, or maybe the dipstick had expired. If it's neither of those things, it may just be a bad batch of dipsticks.
sir is this only one channel or any other option to listen to your lectures
+Chintala Venkatarakesh This is the only place to see them!
Thank you!
sir is there any plan to record any lectures on central nervous system
+Chintala Venkatarakesh Someday, but with so many requests, I'm unable to offer a specific estimate of when I (or another contributor) might get to them.
I have the urinalysis test strips. My question is do i need to do this first thing in the morning after i wake up ?
It's commonly believed that the first void of the morning tends to be more concentrated, since people don't drink while they are sleeping. Therefore, the urine dipstick will be more likely to be positive than from urine samples later in the day (i.e. it increases both the true positive and false positive rates). So if you want to be absolutely sure nothing gets missed, first thing in the morning is best. However, if you also want to balance that with not getting worked up over a concerning result which later turns out to be wrong, then waiting until later might be better. If you aren't sure which is best for your specific situation, then I recommend talking with your doctor.
since pH of 5 or lower means low excretion of H+, and pH or 7 to 8 is higher H+ excretion, what about pH of 6?
I have had large leucocytes in my urine for last 6 urine tests .Urine ph is 5 for 8months and well as micro blood. Gravity hangs around 1.010 my Urination go to frequent to hardly any .. slight stomache pain and weight loss. doctor does not want to address this. He says I am woman and blood is normal in urine and to just eat more sleep more.. is this normal? should I go elsewhere for help Thank you
Have you heard of Turmeric powder and or ginger powder causes urine to be slightly very very pale fluorescent green ?
I only thought asparagus did this 😊
please post videos regarding various medical disorders and evaluation of various conditions such as anemai it will be very useful to many medical students
+Chintala Venkatarakesh Anemia is currently planned for the winter, but I'm hopeful that I'll be able to bring a heme/onc specialist on board, who might choose to cover the topic sooner.
+Eric's Medical Lectures thank u sir
i want to know how urine creatitnine and urine protein ratio help.....in diagnosis
thanks so much
So if there is positive leukocytes but no nitrites would you this pt with a uti or no uti?
The diagnosis of a UTI depends on both the presence of consistent symptoms (e.g. frequent urination and/or painful urination), findings on UA (+ leukocyte esterase +/- positive nitrites), and a positive urine culture (usually omitted in stable, otherwise healthy outpatients). The presence or absence of nitrites in a patient with a UTI depends upon the bacteria causing the infection - some bacteria create nitrites and some don't.
So, in a patient with symptoms of a UTI, who has positive leukocyte esterase and negative nitrites, I'd say that a UTI is still more likely than not - particularly if there is no other obvious reason for the leukocytes (e.g. recent instrumentation of the GU tract). However, if this is a frequently repeating pattern for the patient - urinary symptoms with leukocytes and negative nitrites - it may be best to send off a urine culture to confirm or refute the presence of a true infection.
thank you
I'm still not clear on this, do you pee in a container then put the dipstick in that, or do you slide it directly into the "main tank"?
A person can either pee directly into a small container, in which case its best for a "mid stream" collection, if possible. That is, pee into the toilet for a few seconds, briefly hold, then pee into the container for a quick moment. (It takes a little coordination...)
Or for patients with a Foley catheter and catheter bag, urine can be taken from the bag, but this is generally not considered to be as accurate for identifying most abnormalities.
Do *not* put the dipstick directly into the urethra!
5:03 Specific gravity
6:13 PH
7:13 Glucose
8:07 Blood
8:36 protein (albumin)
11:15 leucocytes/nitrites chart
11:55 ketones
13:55 bilirubin/urobilinogen, chart: 16:06
These time stamps are for me, parts I found of interest
If have blood protein leucocytes?
❤ thanks 😊 Sir ❤
You are so resorcefull
When the person is pregnant as is the pH?
How do we read and note down the results at the same time?
I suspect the folks in the lab who do this routinely have the order and colors memorized. If you are doing it yourself just one time, probably easiest to have a helper.
Thanks
Great
Where are the normal values ?
sir post videos regarding CSF report and stool culture
sir plz send urine analysis vedio and some dlc vedio
thanks , but you forget very important types about the color of urine
My result is alkaline. What does this tell me and what can I do? Thanks
I'm sorry, I can't give medical advice here. I suggest you discuss your results with your own physician.
Can someone tell me what the meaning of pluses is? Like what +means for RBC and ++, +++
What's the difference between 3+ and +++?
And does it make a difference for RBC, WBC, and bacteria or they mean the same amount?
There may be different detection thresholds for different brands of urinalysis test strips. In other words, you would need to consult the specific package insert for the strips to know how to translate the number of pluses to a specific numerical range. Urinalysis test strips do not directly detect RBCs or WBCs, and I would not use any strips that imply they do. In actuality, they detect globulin protein and an enzyme called leukocyte esterase, which are used as imperfect surrogates for RBCs and WBCs, respectively. However, "3+" and "+++" are synonymous.
@@StrongMed
Thank you!
I find this too technical. I’d like to be able to know do I have a bladder infection? Which one do I look at, what is a normal reading, what is a high reading indicating a bladder infection.
How will I know if i had uti from my urinalysis?
You should discuss your health situation with your primary care doctor, as everyone's medical history and symptoms are different.
nice
What does negative mean in dipstick test
It means no amount of that substance was detected, though as the video discusses (if memory serves me correct), there are a few reasons for some false negatives (i.e. the dipstick can be "negative" for something but that something is still present). For example, some specific kinds of proteins and ketones are not picked up by the dipstick.
@@StrongMed i dont understand because i peeed in the cup and the nurse then dipped a multi color strip and inserted it into a machine and it printed a recipe with all negative
@@manuelsalazar9172 This does not constitute personal medical advice, and you should of course consult with your own medical doctor, but a urine dipstick that is "all negative" is a normal result.
@@StrongMed its for pre employment thats why am asking here
👍👍
Tq
Alkalosis
SG1025. Blood 5.10
Write up man
👏🏻👏🏻👏🏻
urine Analysis in Hindhi
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