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Consider this case study for your discussions: An outpatient brings a first morning urine specimen to...

Consider this case study for your discussions: An outpatient brings a first morning urine specimen to the laboratory at 1:00pm. a. Is this urine specimen acceptable? Why or why not? b. What urine component(s) would be affected as a result of this late submission, if any? c. If the specimen is unacceptable for testing, what information could the patient provide upon submission of the specimen that would make the specimen satisfactory for urinalysis testing?

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Answer #1

a. No although there should be be a fierst urine collection as it is concentrated and its easy to detect the abnormalities but if patient brings it to the laboratory at 1:00pm it is not acceptable as it is not fit for the ideal urinalysis.

b. As due to late submission there is chance that the pH of urine may increased, there may be bacteria hence the clarity will be decreased. Further more significantly it may affcet the ketones bodies, glucose content, bilirubin level, as well as RBCs, WBCs and chances of  casts in the urine.

c. In this case patient could say that that specimen was properly refrigerated & then brought immediately for the urinalysis to the pathology.

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