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Urinalysis - The Carter Center

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immediately. For this reason, Gerhardt's Test is performed whenever a<br />

positive reaction occurred with Rothera's or Lang's Test.<br />

Principle of the Test<br />

When acetoacetate (diacetic acid) reacts with a ferric chloride (FeC1 3 )<br />

solution, Bordeaux red color is formed.<br />

Procedure<br />

1. To 5ml fresh urine in a test tube, add 10 % ferric chloride solution<br />

drop by drop until any precipitate of ferric phosphate dissolves. This<br />

generally takes 5 - 10 drops of ferric chloride.<br />

Filter if necessary, and add more ferric chloride.<br />

If a red- brown to Bordeaux red (dark red) color appears, it merely<br />

indicates the possible presence of acetoacetate since other substances<br />

(phenol, salicylates, salicylic acid and sodium bicarbonate) can give a<br />

similar color.<br />

To confirm the presence of acetoacetic acid, divide the test solution in<br />

half and boil one portion for 5 minutes. If the color disappears or<br />

becomes lighter after boiling, acetoacetic acid is present. If the color<br />

remains unchanged after boiling, one of the interfering substances is<br />

present.<br />

Report the result as positive or negative for acetoacetic acid.<br />

Preparation of 10 % Ferric Chloride Reagent (See Reagent Number 8)<br />

4.3 Determination of Urinary Protein<br />

Introduction<br />

Protein is a macromolecule, composed of one or more polypeptide<br />

chains, each possessing a characteristic amino acid sequence and<br />

molecular weight. It has many biologically important functions. Some<br />

54

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