1 URINE ANALYSIS TO IDENTFY DISEASE Introduction The kidney is a bean-shaped filter organ found in pairs in the side of the spine in every human being. The primary role of the kidneys is to filter the blood from substances that are toxic for the celland oxidative end products and to extract and maintain water and electrolytes by producing urine that is discharged into the ureter and urinary bladder. Nephrons in the kidney play the chief part in producing urine (Sherwood 2015). The standard components of urine are urea, chloride, potassium, sodium, creatinine, dissolved organics, and inorganic ions. Urinalysis (UA), also referred to like routine and microscopy (R&M), is a series of urine componentstest measures and mostly used in medical diagnostic techniques toidentify the components present in urine (Fox 2015). Method: The urinary glucose concentration detection test requires to perform Benedict's test. The Benedicts test is done in a few steps.5ml benedicts reagent are taken in a pipette, and few drops of sample urine were added to it. The mixture was then heated for 5 to 10 minutes. After that, the test tube is cooled by keeping them under running water. The change of the solution color will indicate the concentration of glucose in the blood (Tawfiket al, 2019). The urine proteins can be detected by performing the biuret test. The urine sample was acidified, and precipitants were added to the sample. The sample was then centrifuged and put in the analyzer for the estimation of protein—the system mix the NaOH and biuret reagent. The test result is estimated in a colorimetric way(Kumar and Gill, 2018). The bile salt of urine can be detected by the sulfur test. Some dry sulfur powder is sprinkled on the surface of the fresh urine. If the bile salt is present in the urine, the sulfur powder will be sink (Mohapatraet al,2016).
2 URINE ANALYSIS TO IDENTFY DISEASE Result:
3 URINE ANALYSIS TO IDENTFY DISEASE SampleTestObservationResult (+ve or –ve) InferenceDiagnosis A Benedict's Test The solution remains pale blue after heating -veNo glucose in the urine No glycosuria Biuret TestThe solution turns pale violet +vePresence of protein in the urine Kidney diseases Sulfur TestThe sulfur powder remains on the surface of the sample -veNo bile in the urine Liver function is normal BBenedict's Test Solution turns orange +++ ve 1500- 2000mg/ dl Presence of glucose in urine Biuret TestNo change in color-veNo protein in sample Kidney function is normal
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4 URINE ANALYSIS TO IDENTFY DISEASE Sulfur TestSulfur power remains on surface of sample -veNo bile in urine Normal liver function C Benedict's Test The solution remains pale blue after heating -veNo glucose in urine Blood sugar is normal Biuret TestNo change in colour-veNo protein in urine Kidney function is normal Sulfur TestSulfur power remains on surface of sample -veNo bile salt in urine No jaundice or liver disorder Biuret TestNo change in colour-veNo protein in urine Kidney function normally Sulfur TestSulfur power sinks to bottom of test tube +veBile present in the urine Indicates jaundice
5 URINE ANALYSIS TO IDENTFY DISEASE Discussion: Both monosaccharideslikeglucose, fructose, galactose, and other disaccharides, including lactose and maltose,give positive benedict test results. Glucose observed to be present in the urine is Diabetes mellitus sign. The color changes from blue to gradually red as the glucose concentration increases. The biuret reagent reacts with the peptide bonds of the protein present in the urine, changing the solution color from blue to violet, indicating kidney diseases (Asthanaet al,2019). The bile salt present in the urine decreases the surface tension, allowing the sprinkled sulfur to sink, indicating a positive bile test. Evaluation: The experiment was done as per protocol to eliminate any error. However, there are some limitations. The Benedict test is not recommended to testing diabetes sololy. The test can give false-positive or false-negative results. The errors can be eliminated by strict restrictions of any contamination in the solution. Task: 1) The given concentrations of protein can be calculated by the formula, V1S1= V2S2. V1 =stock solution volumeS1= Stock solution concentration V2=volume of solution to be preparedS2=concentration of the solution to be prepared. The solution should be made in decreasing concentration order.
6 URINE ANALYSIS TO IDENTFY DISEASE The stock solution should never be contaminated by the remaining solution of the g;assware after use. 2) 3)The gradient is 0.8863 and the extinction coefficient is gradient/ path length, that is 0.8863/ 3 = 0.2954 4)Coefficient( E) = 0.2954Absorbance (A)= 0.350 , concentration= C, Length (L) =1 As per lambert beer law, A = E.C.L (Bhattet al,2016). C = A/ (E.L) = 0.359 / 0.295×1 = 1.216 mg/ml 024681012 0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 f(x) = 0.0614658703071672 x + 0.00493686006825939 R² = 0.886349988387398 Absorbance at 540 nm
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7 URINE ANALYSIS TO IDENTFY DISEASE Part 3: The Benedict test cannot detect the presence of sucrose in the urine, as the sucrose is non-reducible by the benedict reagent. Thus, it gives a negative result even if there is the presence of sucrose in the urine. Sucrose is a disaccharide joined by glycosidic bond, which inhibits the glucose and fructose from isomerizing, following the prevention of the reduction. The test is, however, can show positive results if the urine sample is boiled with dilute hydrochloric acid, which can break the glycosidic bond by hydrolysis, allowing the benedict reagent to react with the reduced sugar (Kumar and Gill 2018).