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Urinalysis: A Comprehensive Review

See page 1046 for strength-of-recommenda-tion labels. Urinalysis is invaluable in the diagnosis of urologic conditions such as calculi, urinary tract infection (UTI), and malig-nancy. It also can alert the physician to the presence of systemic disease affecting the kidneys. Although urinalysis is not recom-mended as a routine screening tool except in women who may be pregnant, physicians should know how to interpret urinalysis results correctly. This article reviews the correct method for performing urinalysis and the differential diagnosis for several abnormal results. Specimen CollectionA midstream clean-catch technique usually is adequate in men and women. Although prior cleansing of the external genitalia often is recommended in women, it has no proven benefit.

Mar 15, 2005 · Medullary sponge kidney ... Polycystic kidney disease Renal artery embolism Renal vein thrombosis Sickle cell disease or trait Tubulointerstitial causes Vascular cause Urologic causes

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