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Urinalysis - The Carter Center

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- Pancreatic insufficiency.<br />

- Intestinal Infection.<br />

- Ulceration of intestinal mucosa.<br />

To differentiate the pathological conditions from non-pathological, first<br />

restrict the patient from protein intake and then do the test.<br />

Test for Indican<br />

Obemyares Test<br />

Principle<br />

HCL liberates indoxyle from indican and ferric chloride (FeCl 3 ) oxidizes<br />

the indoxyle to indigo blue.<br />

Procedure<br />

1. Add 5 ml well mixed fresh urine and 5 ml obemyares reagent into<br />

a test tube.<br />

2. Add 4 drops of chloroform and mix several times by inverting until<br />

all color dissolves out.<br />

3. Add saturated ferric chloride drop by drop, mixing well after each<br />

addition and record the number of drops you add to decolorize.<br />

When indican is present, the chloroform layer shows a deep violent to<br />

blue color. Normally when two drops are added, the color comes to light<br />

sky blue, if it needs more. It shows the presence of increased amount of<br />

indican.<br />

Source of Errors<br />

- Indican may be formed because of slow oxidation.<br />

- Presence of iodide may case violent color removed by adding<br />

crystals of sodium thiosulfate.<br />

- Bile pigments – removed by shaking BaCl 2 and filtering.<br />

84

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