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Urinalysis - The Carter Center

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79<br />

- High milk intake.<br />

- Some drugs.<br />

- If test done immediately after high calcium meal.<br />

2. False negatives<br />

- Increased dietary phosphates.<br />

- Alkaline urine.<br />

- Some drugs.<br />

Test for Calcium<br />

<strong>The</strong> test for calcium in the urine is not included in the routine urinalysis.<br />

<strong>The</strong> qualitative test of Sulkowitch is used for calcium determination.<br />

Sulkowitch Test<br />

Principle of Test<br />

In this test a solution of ammonium oxalate ( about 4 % ) is added to<br />

the urine. If calcium is present in excessive amounts, it drops out of<br />

solution as a heavy white precipitate of calcium oxalate.<br />

Procedure<br />

1. Pour 5 ml of urine into a test tube.<br />

2. Add 5 ml of Sulkowitch reagent ( see reagent No. 13 ).<br />

3. Mix by inverting the tube several times.<br />

4. Allow to stand 3 minutes.<br />

5. If a fine white cloud appears, the calcium content is normal.<br />

6. If no white cloud appears, the calcium content is decreased.<br />

7. If a heavy white milky precipitate forms, the calcium content is<br />

increased.<br />

8. Report the calcium content as normal, decreased or increased.<br />

Preparation of Sulkowitch Reagent (See Reagent Number 12).

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