{"id":11310,"date":"2013-05-30T10:13:07","date_gmt":"2013-05-30T09:13:07","guid":{"rendered":"http:\/\/geoffjones.com\/?p=11310"},"modified":"2013-05-30T10:13:07","modified_gmt":"2013-05-30T09:13:07","slug":"urine-analysis-with-uchek","status":"publish","type":"post","link":"https:\/\/newsite.geoffjones.com\/?p=11310","title":{"rendered":"Urine analysis with @uchek"},"content":{"rendered":"<div><a href=\"https:\/\/geoffjones.com\/wp-content\/uploads\/2013\/05\/Screenshot_30_05_2013_10_16.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-11314\" alt=\"Screenshot_30_05_2013_10_16\" src=\"https:\/\/geoffjones.com\/wp-content\/uploads\/2013\/05\/Screenshot_30_05_2013_10_16.jpg\" width=\"195\" height=\"259\" \/><\/a>Very interesting email I received on one of my favourite topics. If you measure what is going in it strikes me what is coming out is equally important.<\/div>\n<div><\/div>\n<div>After all doctors used to taste your urine \ud83d\ude42 It&#8217;s interesting how the FDA are getting drawn into the debate. Basically if you interept the dipstick manually it&#8217;s OK once you use a camera &amp; computer it becomes a medical device! see <a href=\"http:\/\/www.medicaldaily.com\/articles\/15921\/20130527\/fda-investigates-urine-analyzing-iphone-app-uchek-urinalysis.htm\">here<\/a>.<\/div>\n<div><\/div>\n<div>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;email from uchek&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;<\/div>\n<div><b><br \/>\nAfter our US and India app releases, it has been an interested time!\u00a0<\/b><\/div>\n<div>&#8211; Lots of\u00a0<b>downloads\u00a0<\/b>of the uChek app on iPhone in USA and India<\/div>\n<div>&#8211; ALL our friends on the Android platform and in non-US, non-India geographies writing to ask &#8220;<b>When will we get it?<\/b>&#8220;<\/div>\n<div>(btw Answer:\u00a0<b><i>SOON!<\/i><\/b><\/div>\n<div>We&#8217;re be sending an update on release in different geographies, and of course, the much anticipated Android app)<\/div>\n<div><\/div>\n<div>Also interesting development: uChek is a FDA registered device and we have been in discussions with the regulator about the classification of the product. Much commentary about this on the web. Like\u00a0<a href=\"http:\/\/appleinsider.com\/articles\/13\/05\/24\/iphone-urinalysis-app-draws-scrutiny-from-fda\" target=\"_blank\">here<\/a>.<\/div>\n<div>We seem to be somehow in the center of a wider debate about innovation and regulation.<\/div>\n<div><\/div>\n<div>Another thing we&#8217;ve noticed &#8211;\u00a0<b>nobody on\u00a0<a href=\"https:\/\/www.facebook.com\/UChekApp\" target=\"_blank\">facebook<\/a>\u00a0wants to talk about urine using their real name \ud83d\ude42\u00a0<\/b><\/div>\n<div><b>So we&#8217;ll use this email to talk about urinalysis, and what information the results of a urine test may contain &#8230;<\/b><\/div>\n<div><\/div>\n<div><b>A simple 10 parameter dipstick (less than 20 cents) can be a powerful diagnostic tool. This is precise the type of test strip we read using the\u00a0uChek app, through the iPhone&#8217;s camera.\u00a0<\/b><\/div>\n<div>\n<div><img alt=\"\" border=\"0\" \/>Such a standard urine test strip may comprise up to 10 different chemical pads or reagents which react and hence change color when immersed in, and then removed from, a urine sample. The readings can be obtained between 60 and 120 seconds of dipping. Each parameter has to be read at a specific time after the start of the reaction, as per the manufacturer&#8217;s instructions. There are many manufacturers and many types of strips. Information about concentration measurements of parameters like glucose, urobilinogen, pH, ketone, occult blood, protein, bilirubin, nitrite, leukocyte, and specific gravity in urine may be obtained in this way.<\/p>\n<div>\n<h4><\/h4>\n<h4><a name=\"13ef482c12c98f04_13ef45db6416987c_13ef41427b5c1892_13ef40d6cb01a6db_TOC-Glucose:\"><\/a>The absence or relative concentration of different parameters may provide inputs for healthcare professionals for diagnosis, and management of upto 25 medical conditions.<\/h4>\n<hr \/>\n<h4><a name=\"13ef482c12c98f04_13ef45db6416987c_13ef41427b5c1892_13ef40d6cb01a6db_TOC-Glucose:\"><\/a>Glucose:<\/h4>\n<p><img alt=\"\" width=\"530\" \/><\/p>\n<p><b>Glucose is not normally present in the urine.<\/b><br \/>\nOnce the level of glucose in the blood reaches a renal threshhold, the kidneys begin to excrete it into the urine in an attempt to decrease the blood concentration. So high blood concentrations lead to glucosuria, as does conditions that may reduce this renal threshold.<\/p>\n<ul>\n<li><b>Diabetes<\/b><\/li>\n<li><b>Liver disease<\/b><\/li>\n<li><b>Medications such as tetracycline, lithium, penicillin, cephalosporins<\/b><\/li>\n<li><b>Pregnancy<\/b><\/li>\n<\/ul>\n<div>\n<h4><a name=\"13ef482c12c98f04_13ef45db6416987c_13ef41427b5c1892_13ef40d6cb01a6db_TOC-1\"><\/a><\/h4>\n<hr \/>\n<h4><a name=\"13ef482c12c98f04_13ef45db6416987c_13ef41427b5c1892_13ef40d6cb01a6db_TOC-Bilirubin:\"><\/a>Bilirubin:<\/h4>\n<p><img alt=\"\" width=\"530\" \/><\/p>\n<p>Produced as a by-product during the degradation of RBC in the liver and normally excreted in the bile. Once in the intestine it is excreted in the faeces (as stercobilin) or by the kidneys (as urobilinogen).<br \/>\nPresence of bilirubin in the urine may therefore indicate:<\/p>\n<ul>\n<li><b>liver disease<\/b><\/li>\n<li><b>biliary tract infection<\/b><\/li>\n<li><b>pancreatic causes of obstructive jaundice<\/b><\/li>\n<\/ul>\n<div>\n<hr \/>\n<h4><a name=\"13ef482c12c98f04_13ef45db6416987c_13ef41427b5c1892_13ef40d6cb01a6db_TOC-Ketones:\"><\/a>Ketones:<\/h4>\n<p><img alt=\"\" width=\"530\" \/><\/p>\n<p><b>Not normally found in the urine, ketones are produced during fat metabolism.<\/b><br \/>\nPresence of ketones may indicate:<\/p>\n<ul>\n<li><b>diabetes<\/b><\/li>\n<li><b>alcoholism<\/b><\/li>\n<li><b>eclampsia<\/b><\/li>\n<li><b>a state of starvation<\/b><\/li>\n<li><b>pregnancy<\/b><\/li>\n<\/ul>\n<div>\n<hr \/>\n<h4><a name=\"13ef482c12c98f04_13ef45db6416987c_13ef41427b5c1892_13ef40d6cb01a6db_TOC-Specific-Gravity:\"><\/a>Specific Gravity:<\/h4>\n<h4><a name=\"13ef482c12c98f04_13ef45db6416987c_13ef41427b5c1892_13ef40d6cb01a6db_TOC-2\"><\/a><img alt=\"\" width=\"530\" \/><\/h4>\n<p>The specific gravity (SG) of urine signifies the concentration of dissolved solutes and reflects the effectiveness of the renal tubules to concentrate it ( when the body needs to conserve fluid). If there were no solutes present the urines SG would be 1.000, the same as pure water.<br \/>\n<b>The SG of urine is around 1.010 but can vary greatly:<\/b><\/p>\n<p><strong>Decreased SG<\/strong>\u00a0may be due to:<\/p>\n<ul>\n<li><b>Excessive fluid intake (oral or IV fluids)<\/b><\/li>\n<li><b>Renal failure<\/b><\/li>\n<li><b>Acute golmerulonephritis, pyelonephritis, acute tubular necrosis<\/b><\/li>\n<li><b>Diabetes insipidus<\/b><\/li>\n<\/ul>\n<p><strong>Increased SG<\/strong>\u00a0may be due to:<\/p>\n<ul>\n<li><b>Dehydration due to poor fluid intake, vomiting or diarrhoea<\/b><\/li>\n<li><b>Heart failure<\/b><\/li>\n<li><b>Liver failure<\/b><\/li>\n<li><b>Inappropriate antidiuretic hormone secretion<\/b><\/li>\n<\/ul>\n<p>It also reflects a high solute concentration which may be from glucose (diabetes or IV glucose) or protein.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div>\n<hr \/>\n<h4><a name=\"13ef482c12c98f04_13ef45db6416987c_13ef41427b5c1892_13ef40d6cb01a6db_TOC-Blood:\"><\/a>Blood:<\/h4>\n<p><img alt=\"\" width=\"530\" \/><\/p>\n<p>Classified as microscopic or macroscopic haematoria. Microscopic means that the blood is not visible with the naked eye.<br \/>\nBlood may be present in the urine following trauma, smoking, infection, renal calculi or strenuous exercise.<\/p>\n<p>It may also be present with:<\/p>\n<ul>\n<li><b>Urinary tract infections.<\/b><\/li>\n<li><b>Damage to the glomerulas or tumours which erode the urinary tract.<\/b><\/li>\n<li><b>Acute tubular necrosis.<\/b><\/li>\n<li><b>Traumatic catheterization.<\/b><\/li>\n<li><b>Damage caused by the passage of kidney stones.<\/b><\/li>\n<li><b>Contamination from the vagina during menstruation<\/b><\/li>\n<\/ul>\n<p>The presence of myoglobin (myoglobinuria) after muscle injury will also cause the reagent strip to indicate blood.<\/p>\n<hr \/>\n<h4><a name=\"13ef482c12c98f04_13ef45db6416987c_13ef41427b5c1892_13ef40d6cb01a6db_TOC-pH:\"><\/a>pH:<\/h4>\n<h4><a name=\"13ef482c12c98f04_13ef45db6416987c_13ef41427b5c1892_13ef40d6cb01a6db_TOC-3\"><\/a><img alt=\"\" width=\"530\" \/><\/h4>\n<p>Measures the hydrogen ion concentration of the urine.<br \/>\nIt is important that a fresh sample be used as urine becomes more alkaline over time as bacteria convert urea to ammonia (which is very alkaline).<br \/>\nUrine is normally acidic but its normal pH ranges from 4.5 to 8.<\/p>\n<p><strong>Low pH (acidic):<\/strong><\/p>\n<ul>\n<li>Foods such as acidic fruits (cranberries) can lower the pH, as can high a high protein diet.<\/li>\n<li>As urine generally reflects the blood pH, metabolic or respiratory acidosis can make it more acidic.<\/li>\n<li>Other causes of acidic urine include diabetes, diarrhoea and starvation.<\/li>\n<\/ul>\n<p><strong>High pH (alkaline):<\/strong><\/p>\n<ul>\n<li>Low carb or vegetarian diet<\/li>\n<li>May be associated with renal calculi.<\/li>\n<li>Respiratory or metabolic alkalosis<\/li>\n<li>Urinary tract infection<\/li>\n<\/ul>\n<div>\n<hr \/>\n<h4><a name=\"13ef482c12c98f04_13ef45db6416987c_13ef41427b5c1892_13ef40d6cb01a6db_TOC-Protein:\"><\/a>Protein:<\/h4>\n<p><img alt=\"\" width=\"530\" \/><\/p>\n<p>This is measuring the amount of albumin in the urine. Normally there should be no detectable quantities.<br \/>\nElevated protein levels are known as proteinuria. Albumin is one of the smaller protiens, and if the kidneys begin to dysfuncion it may show an early sign of kidney disease.<\/p>\n<p>Other conditions which may lead to protein in the urine include:<\/p>\n<ul>\n<li><b>Injury to the urinary tract, bladder or urethra<\/b><\/li>\n<li><b>Inflammation, malignancies.<\/b><\/li>\n<li><b>Multiple myeloma<\/b><\/li>\n<\/ul>\n<div>\n<hr \/>\n<h4><a name=\"13ef482c12c98f04_13ef45db6416987c_13ef41427b5c1892_13ef40d6cb01a6db_TOC-Urobilinogen:\"><\/a>Urobilinogen:<\/h4>\n<p><img alt=\"\" width=\"530\" \/><\/p>\n<p>Normally present in the urine in small quantity. Less than 1% of urobilinogen is passed by the kidneys the remainder is excreted in the faeces or transported back to the liver and converted into bile.<\/p>\n<p>Raised levels may be due to:<\/p>\n<ul>\n<li><b>Cirrhosis<\/b><\/li>\n<li><b>Hepatitis<\/b><\/li>\n<li><b>Hepatic necrosis<\/b><\/li>\n<li><b>Haemolytic and pernicious anaemia<\/b><\/li>\n<li><b>Malaria<\/b><\/li>\n<\/ul>\n<div>\n<hr \/>\n<h4><a name=\"13ef482c12c98f04_13ef45db6416987c_13ef41427b5c1892_13ef40d6cb01a6db_TOC-Nitrites:\"><\/a>Nitrites:<\/h4>\n<p><img alt=\"\" width=\"530\" \/><\/p>\n<p>Nitrites are formed by the breakdown of urinary nitrates. This us usually caused by Gram-negative and some Gram-positive bacteria.<br \/>\nSo the presence of nitrites suggests bacterial infection such as E.coli, Staphylococcus and Klebsiella.<br \/>\nCommonly found during a urinary tract infection.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<hr \/>\n<h4><a name=\"13ef482c12c98f04_13ef45db6416987c_13ef41427b5c1892_13ef40d6cb01a6db_TOC-Leukocytes:\"><\/a>Leukocytes:<\/h4>\n<p><img alt=\"\" width=\"530\" \/><\/p>\n<p>Detects white cells in the urine (pyuria) which is associated with\u00a0<b>urinary tract infection.<\/b><\/p>\n<hr \/>\n<h4><a name=\"13ef482c12c98f04_13ef45db6416987c_13ef41427b5c1892_13ef40d6cb01a6db_TOC-Source:-ImpactedNurse\"><\/a>Source:\u00a0ImpactedNurse<\/h4>\n<hr \/>\n<h4><a name=\"13ef482c12c98f04_13ef45db6416987c_13ef41427b5c1892_13ef40d6cb01a6db_TOC-Urinalysis-may-be-useful-in-investigations-and-management-of-the-following-conditions.-\"><\/a><b>Urinalysis may be useful in investigations and management of the following conditions.\u00a0<\/b><\/h4>\n<div><b>1. Urinary tract infections<br \/>\n<\/b><b>2. Cirrhosis of the liver<\/b><b><br \/>\n<\/b><b>3. Hepatitis\u00a0<\/b><b><br \/>\n<\/b><b>4. Hemolytic anemia<\/b><b><br \/>\n<\/b><b>5. Malaria<\/b><b><br \/>\n<\/b><b>6. Pre-eclampsia<\/b><b><br \/>\n<\/b><b>7.Metabolic acidosis and alkalosis<\/b><b><br \/>\n<\/b><b>8. Respiratory acidosis and alkalosis<\/b><b><br \/>\n<\/b><b>9. Diabetse mellitus<\/b><b><br \/>\n<\/b><b>10. Diarrhoea<\/b><b><br \/>\n<\/b><b>11. Starvation<\/b><b><br \/>\n<\/b><b>12. Renal calculi<\/b><b><br \/>\n<\/b><b>13. Diabetes ketoacidosis<\/b><b><br \/>\n<\/b><b>14. Biliary tract infections<\/b><b><br \/>\n<\/b><b>15. Obstructive jaundice<\/b><b><br \/>\n<\/b><b>16. Pregnancy<\/b><b><br \/>\n<\/b><b>17. Alcoholism<\/b><b><br \/>\n<\/b><b>18. Dehydration<\/b><b><br \/>\n<\/b><b>19. Heart failure<\/b><b><br \/>\n<\/b><b>20. Diabetes Insipidus<\/b><b><br \/>\n<\/b><b>21. Nephropathy &#8211; Diabetic and Hypertensive<\/b><b><br \/>\n<\/b><b>22. Multiple Myeloma<\/b><b><br \/>\n<\/b><b>23. Menstruation<\/b><b><br \/>\n<\/b><b>24. Vomitting\u00a0<\/b><b><br \/>\n<\/b><b>25. Cancers of the urinary tract, kidney, bladder<\/b><\/div>\n<hr \/>\n<div>Addional information on this topic may be obtained from the sources below.<\/div>\n<div>\n<ul>\n<li><b>Mayo Clinic article on Urinalysis<\/b><\/li>\n<li><b><a href=\"http:\/\/journals.lww.com\/em-news\/Fulltext\/2007\/06000\/Urine_Dipstick_Testing__Everything_You_Need_to.33.aspx\" target=\"_blank\" rel=\"nofollow\">Emergency Medicine News article on Urine dipstick testing<\/a><\/b><\/li>\n<li><b>Patient.co.uk article on Urine dipstick analysis<\/b><\/li>\n<li><b>&#8220;The Abnormal Urinalysis&#8221;, Pediatric Clinics of North America<br \/>\n<\/b><\/li>\n<\/ul>\n<p>&#8212;&#8212;&#8212;&#8212;&#8212;end email uchek&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Very interesting email I received on one of my favourite topics. If you measure what is going in it strikes me what is coming out is equally important. After all doctors used to taste your urine \ud83d\ude42 It&#8217;s interesting how the FDA are getting drawn into the debate. Basically if you interept the dipstick manually [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[20,22,23],"tags":[],"class_list":["post-11310","post","type-post","status-publish","format-standard","hentry","category-personal","category-products","category-quantified-self"],"_links":{"self":[{"href":"https:\/\/newsite.geoffjones.com\/index.php?rest_route=\/wp\/v2\/posts\/11310","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/newsite.geoffjones.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/newsite.geoffjones.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/newsite.geoffjones.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/newsite.geoffjones.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=11310"}],"version-history":[{"count":0,"href":"https:\/\/newsite.geoffjones.com\/index.php?rest_route=\/wp\/v2\/posts\/11310\/revisions"}],"wp:attachment":[{"href":"https:\/\/newsite.geoffjones.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=11310"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/newsite.geoffjones.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=11310"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/newsite.geoffjones.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=11310"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}