Dipstick Chemical Analysis

Specific Gravity

Normal: 1.003-1.030

Measures urine concentration and kidney's ability to concentrate or dilute urine. Essential for assessing hydration status and renal concentrating ability.

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Urine pH

Normal: 4.5-8.0

Reflects acid-base status and can indicate renal tubular acidosis, UTI, or dietary factors. Helps guide treatment for kidney stones.

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Urine Protein

Normal: Negative (<10 mg/dL)

Proteinuria indicates kidney damage, glomerular disease, or systemic conditions. Key marker for chronic kidney disease and preeclampsia.

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Urine Glucose

Normal: Negative (<15 mg/dL)

Glucosuria indicates hyperglycemia exceeding renal threshold or renal tubular dysfunction. Common in uncontrolled diabetes mellitus.

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Urine Ketones

Normal: Negative

Ketonuria indicates fat metabolism due to starvation, diabetic ketoacidosis, or low-carbohydrate diets. Critical finding in DKA diagnosis.

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Urine Blood

Normal: Negative

Hematuria can indicate UTI, kidney stones, glomerulonephritis, trauma, or malignancy. Requires microscopy to confirm and differentiate causes.

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Leukocyte Esterase

Normal: Negative

Marker of white blood cells in urine indicating urinary tract infection or inflammation. Sensitive screening test for UTI.

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Urine Nitrites

Normal: Negative

Indicates presence of nitrate-reducing bacteria (E. coli, Klebsiella, Proteus). Highly specific for bacterial UTI when positive.

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Microscopic Examination

Urine Microscopy

Normal: Few cells, rare casts

Microscopic examination of urine sediment identifies cells (WBCs, RBCs, epithelial), casts, crystals, and bacteria. Essential for complete urinalysis interpretation.

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