Introuction
Urinalysis refers to a medical examination on a urine sample that is used to diagnose illnesses such as diabetes, kidney ailments, and urinary tract infections. Hence, urinalysis emphasizes examining the content, concentration, and appearance of the urine. Consequently, abnormal urinalysis outcomes indicate the infestation of a certain disease. For instance, if an individual is suffering from urinary tract infection, their urine will have a cloudy appearance rather than a clear look. Similarly, increased protein levels are characterized by foamy urine, and it reveals probable symptoms for a kidney disorder. Unusual urinalysis outcomes often oblige clinicians to conduct more tests to ascertain the precise medical condition. Other medical tests, for instance, drug screening and pregnancy test also depend on the urine sample analysis. However, these tests focus on specific substances that are not usually incorporated in typical urinalysis. For that reason, urinalysis is conducted to check one's overall health, diagnose, and monitor an ailment.
Skills Gained
My nine months internship in two different hospitals has empowered me to develop critical analysis skills that are fundamental in performing urine tests. Therefore, the critical analysis skills I gained during the internship has enabled me to categorize a typical urine test into three primary parts. Firstly, a visual exam is an integral part of a typical urine test. My critical analysis skills should assist me to distinguish the urine sample's clearness and color. Hence, through my logical reasoning skills, I will be able to allege that the urine sample has blood if it resembles tea or has a distinctive red appearance. A urinary tract infection is associated with a cloudy urine sample, while foamy urinalysis results depict kidney disease symptoms (Ince et al., 2016, p.15). Therefore, my critical analysis skills will enable me to diagnose a patient's illness based on the urine sample's appearance and color.
Secondly, I will use my critical analysis skills to perform a microscopic exam that concentrates on identifying urine sample components that cannot be scrutinized with a naked eye. Consequently, my critical analysis skills will assist me to determine the presence of bacteria, crystals, and pus cells. Additionally, most of the crystals are formed from chemicals present in urine, and they illustrate the patient's likelihood of suffering from kidney stones (Bereket et al., 2013, p.459). Hence, my critical analysis skills will empower me to monitor and diagnose medical conditions based on the microscopic examination outcomes.
Finally, the dipstick test is another crucial part of the urinalysis process. As a result, I will utilize my critical analysis skills to affirm the presence of specific substances in the urine sample linked to the strips color changes. Besides, the dipstick test is used to check the pus cells, protein, glucose, and acidity levels (Utsch and Klaus, 2014, p.621). Therefore, my critical analysis skills will assist in the integration of visual exam, dipstick test, and microscopic exam to diagnose the patient's illness.
Experience and Future Practice
My comprehensive understanding of the three types of urinalysis will ensure that my diagnosis of patients' details is precise and appropriate. Therefore, my critical analysis skills will have a significant influence on the decisions I make on the most suitable urine test I choose as a medic. My critical analysis skills on the macroscopic urinalysis will enable me to differentiate between the normal and abnormal urine samples. Consequently, my assessment skills will enable me to differentiate between various medical conditions such as muscle strains, liver diseases, and dehydration. For example, muscle strains and liver diseases have an orange colored urine sample, while dark colored urine samples indicate high dehydration levels. Moreover, my dipstick test assessment experience will ensure that I take accurate readings. Hence, taking accurate dipstick test readings are vital since each strip's color change indicates certain abnormalities (Ince et al., 2016, p.18). Subsequently, I will take the urinalysis sample readings once I notice an apparent color change by comparing them to the reference color strip. As a result, my thorough assessment skills will empower me to differentiate various ailments associated with the strips colors. The dipsticks color changes will help in assessing the urine's concentration, acidity, and protein levels. Additionally, the dipstick chemical assessment depicts the ketonuria, bilirubin, and urobilinogen conditions. Likewise, I will use the microscopic urinalysis technique to confirm the presence of crystals and cellular debris in the urine sample. For instance, I will prefer using a low-power microscope to identify crystals and squamous cells (Utsch and Klaus, 2014, p.623). Similarly, through using the high-power microscope, I will be able to differentiate between casts, bacteria, and different cells. For that reason, I will use my critical analysis skills to incorporate the three urine sample assessment techniques to diagnose and monitor diseases.
Conclusion
Urinalysis is one of the main medical tests used to diagnose and monitor various ailments using urine samples. As a result, the appearance, concentration, and content of the urine are used to distinguish between normal and abnormal outcomes. Consequently, the unusual urinalysis outcomes often oblige the clinicians to perform more tests to ascertain the patients' medical condition. Therefore, my internship experience will assist me to select the most appropriate urinalysis assessment option. Additionally, I will integrate the visual exam, dipstick test, and microscopic exam to enable me to make an accurate diagnosis from the patients' urine samples. Hence, my in-depth knowledge and vast experience will be crucial in ensuring that I integrate the three assessment techniques to diagnosis and monitor the patients' well-being.
Bibliography
Bereket, G., Bozdogan, G., Saribeyoglu, E., Arapoglu, M., Serteser, M. and Celiker, A. (2013). Use of urinalysis as a screening tool for asymptomatic infants. Journal of Paediatrics and Child Health, 49(6), pp.458-461.
Ince, F., Ellidag, H., Koseoglu, M., Simsek, N., Yalcin, H. and Zengin, M. (2016). The comparison of automated urine analyzers with manual microscopic examination for urinalysis automated urine analyzers and manual urinalysis. Practical Laboratory Medicine, 5, pp.14-20.
Utsch, B. and Klaus, G. (2014). Urinalysis in Children and Adolescents. Deutsches Aerzteblatt Online, pp.617-626.
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