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Urinalysis - The Carter Center

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25<br />

Interfering Factors<br />

It is usually important to consider, that on standing of urine for more than<br />

30 minutes, the urobilinogen that is found in urine will oxidize and<br />

change to urobilin. Thus due to this process, the color of urine becomes<br />

dark. <strong>The</strong>refore, the physical examination of urine should be done<br />

immediately after the delivery of urine to the laboratory.<br />

Other interfering factors that result in abnormal urine color formation are<br />

certain foodstuff, and medications.<br />

• Food stuf, such as beets will give white red color.<br />

• Drugs such as Vitamin B 12 and riboflavin will give bright yellow color<br />

to urine.<br />

• Rifampicilin will give red color to urine.<br />

• Iron salt will give dark color to urine.<br />

• Sulfonamides will give rusty yellow or brownish color.<br />

<strong>The</strong>refore, when abnormal colored urine is observed, it is important to<br />

ask the patient, what kind of food he consumed in the last 36-24 hrs, and<br />

also whether he used drugs or not. If so, it is important to know what<br />

food and what drug he used.<br />

3.5 Appearance (Transparency)<br />

Fresh voided urine specimen is normally clear and transparent. On long<br />

standing, due to chemical changes that occur in normal constituents of<br />

urine through time, as described in the introduction part of this lecture<br />

note, it becomes turbid.<br />

Procedure of the Test<br />

• Appearance (transparency) of urine can be measured only by<br />

observation of fresh voided urine specimen.

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