cloudy urine
Introduction
Introduction That is, the urine is opaque. Normally, the newly discharged urine is mostly transparent. After placement, a slight flocculent precipitate may appear, and fresh urine may be turbid, which can be seen in: 1 Urate precipitation: After the concentrated acidic urine is cooled, the reddish urate may be precipitated, and the precipitate may be dissolved when heated or added with alkali. 2 Phosphate and carbonate precipitation: concentrated alkaline or neutral urine excreted in the body, can be precipitated with phosphate or carbonate, white, acid can be dissolved, carbonate precipitation can also produce bubbles in the presence of acid. 3 pyuria or bacteriuria: If the urine contains a lot of inflammatory exudates such as white blood cells, pus cells and bacteria, it can be turbid just after discharge. The bacteriuria is cloud-like and does not sink after standing; there may be white cloud flocculent precipitate after pyuria placement. This kind of urine does not retreat regardless of heating or acid addition.
Cause
Cause
First, the pathogen:
Escherichia coli is the most common cause of pyelonephritis, followed by Escherichia coli, Proteus, Streptococcus faecalis.
Second, the route of infection:
1. Upstream infection: Upstream infection is the most common route. When the body's resistance is reduced and the urethral mucosa is slightly damaged, the bacteria are prone to invade the bladder and kidneys and cause infection. Because the female urethra is much shorter and wider than the male, the urethral opening of the baby girl is often contaminated by feces, which is easy to cause disease. Bacteria that go up to the kidneys first invade the renal pelvis mucosa, causing inflammation, and then invade the renal parenchyma through the renal pelvis, nipple, and renal tubules.
2. Blood infection: Bacteria invade the bloodstream from the lesions in the body, cause inflammation in the kidneys, cause inflammation, and when the blood is infected, the bacteria first reach the renal cortex, and most small abscesses are formed there, and then spread down the renal tubules. Kidney nipple and renal pelvis.
3. Lymphatic infections.
4. Direct infection: When an infection occurs in an organ that is traumatic or adjacent to the kidney, the bacteria can directly invade the kidney vein and cause inflammation.
Examine
an examination
Related inspection
Urine routine nephropathy
Fresh urine is turbid and can be found in:
1 Urate precipitation: After the concentrated acidic urine is cooled, the reddish urate may be precipitated, and the precipitate may be dissolved when heated or added with alkali.
2 Phosphate and carbonate precipitation: concentrated alkaline or neutral urine excreted in the body, can be precipitated with phosphate or carbonate, white, acid can be dissolved, carbonate precipitation can also produce bubbles in the presence of acid.
3 pyuria or bacteriuria: If the urine contains a lot of inflammatory exudates such as white blood cells, pus cells and bacteria, it can be turbid just after discharge. The bacteriuria is cloud-like and does not sink after standing; there may be white cloud flocculent precipitate after pyuria placement. This kind of urine does not retreat regardless of heating or acid addition. To improve the reliability and accuracy of turbid urine detection. Methods: Urine specimens were first analyzed by dry chemical analysis with 11 items of urine analyzer, and then centrifuged and reported by UDS microscopy analyzer UDS. It is of great significance to analyze the various forms of urinary sediment analysis after clinical analysis of common turbid urine.
Diagnosis
Differential diagnosis
In general, the discharged urine is not clear and turbid, and it is not a disease but a phenomenon.
There are several possibilities that should be considered: crystallization of urine is mostly cloudy urine at the end of urination, and there may be a turbid urine at the beginning of urination or between the urine. No pain. A drop of urine was placed on a glass slide and observed under a microscope, and various crystals were observed. When the urine PH is alkaline or neutral, it is mostly phosphate crystal. After adding acetic acid to the urine, the crystal dissolves and the urine color becomes clear. When the urine PH is acidic, it is mostly oxalate or urate crystal, soluble in alkaline liquid and not soluble in acetic acid or hydrochloric acid; cystine crystal is neither soluble in acid nor alkali, and appears in patients with cystine stones. In the urine. Crystalline urine generally does not require treatment, drink more water, and the crystallization is more soluble and no longer occurs.
Pyuria is caused by a urinary tract infection. A large number of white blood cells can be seen by microscopy. More combined with bladder irritation, such as frequent urination, urgency, dysuria. Such as long-term treatment should consider urinary tuberculosis or other urinary systemic lesions, such as deformities, stones, tumors and so on. Pyuria often have an odor. The whole urine of chyluria is milky white, like cow's milk, which may have small grape-like gelatinous substance. When there is a combined bleeding, it is pink, which occurs more than 10 years after the onset of hemorrhagic disease, also known as retroperitoneal tumor or inflammation. Generally, the patient is asymptomatic, and urinary dysfunction may occur only when the clot is large; or colic may occur when the clot passes through the ureter.
Chyluria is an intermittent episode that occurs after eating high-fat foods. Pour the chyle into the test tube, add an equal amount of ether, shake it, take a drop of the liquid in the ether layer on the slide, add a drop of Sudan III dye solution, observe under the microscope, such as chyluria, red fat drops can be seen And see the lower layer of urine turbidity clear. Sometimes when you urinate and then urinate, you can discharge pale milk white liquid or mucus, which may be prostatic fluid or semen. Place such a turbid liquid on a glass slide and place it under a microscope. The former can be seen in many fronts, and the vulva is cold; the kidney is not enough, the temperature is degraded, and the cold is infertile; if the yang is not full, the cold is shrinking. Do not mention the house. The foot and the yin and the liver go through the line, follow the yin, enter the hair, pass the genitals, and reduce the abdomen. Cold evil invasion, retention of liver, and in the genitals, the vulva is cold, less abdomen.
Mix in semen: urine can be turbid, urine protein is qualitatively negative, and sperm can be seen by microscopy.
Contamination: Seen in women with leucorrhea or other purulent diseases contaminated urine, can be used for cleaning mid-section urine test to identify.
