URINALYSIS INTRODUCTION: Analyzing the composition of urine can help indicate the health of an individual such as the presence of HCG in pregnancy tests, presence of THC metabolite to test for marijuana use, or cloudiness indicating a urinary tract infection. Diseases like diabetes affect processes that occur in the kidneys, so a urinalysis also provides preliminary indications of these diseases. Early diagnosis of these diseases is important because they can damage the kidneys. OBJECTIVE: Determine how disease can affect the composition of urine. MATERIALS: 4 urine samples: normal, type 1 diabetes, type 2 diabetes, and hyperthyroidism pH paper 4 glucose-ketone reagent test strips – used in dipstick test for presence of glucose and ketones PROCEDURE: For each urine sample, 1. Predict its appearance, pH, and whether it will contain glucose or ketones. Include your reasoning. 2. Observe and record its appearance and determine its composition using the pH paper and glucose-ketone reagent test strips. 3. Explain how the characteristics of each disease would cause the observed results. QUESTIONS: 1. For diabetes and hyperthyroidism: A. What are other common symptoms? B. What other diagnostic tests would be used to confirm a diagnosis? 2. What other diseases can be diagnosed using a urinalysis test? EVALUATION: A – EXCEEDS EXPECTATIONS Thoughtful explanations that are consistent with ideas/concepts from relevant body systems & clearly shows connection between the characteristics of each disease & observed results. Statements demonstrate comprehensive understanding of relevant body systems. GlycoNet B – FULLY MEETS EXPECTATIONS Explanations are somewhat consistent with ideas/concepts from relevant body systems &/or shows some connection between the characteristics of each disease & observed results. Statements demonstrate adequate understanding of relevant body systems. C – EXPECTATIONS NOT MET Explanations are not consistent with ideas/concepts from relevant body systems &/or do not show connection between the characteristics of each disease & observed results. Statements demonstrate minimal understanding of relevant body systems. 1 URINALYSIS Name Partner PREDICTION Urine Appearance, pH, & Results for Glucose-Ketone Reagent Test Strip Reasoning for Prediction Period Date OBSERVATIONS EXPLANATION Results for Each Urine Sample Reasoning for Observed Results NORMAL TYPE 1 DIABETES TYPE 2 DIABETES HYPERTHYROIDISM GlycoNet 2 URINALYSIS: TEACHER GUIDE NOTE: Answers for student handout in hidden text – click on ¶ on HOME toolbar to show answers Students should be familiar with the following prescribed learning objectives from BC Biology 11 & 12 Integrated Resource Package 2006: B11 Analyse the roles of enzymes in biochemical reactions: identify the thyroid as the source gland for thyroxin, and relate the function of thyroxin to metabolism C13 Analyse the functional inter-relationships of the structures of the urinary system: identify and explain the functions of the components of the nephron, describe the production of urine, and describe how the kidneys maintain blood pH Time Required: 60 minutes Predict results with reasoning – including time to do online research: 20 minutes Test urine samples and record results: 10 minute Explain results and answer questions: 30 minutes Assigning pre-reading about diabetes and hyperthyroidism may reduce the time required to complete activity. Preparation: Requires ~100mL of each urine sample for 15 sets per class: ~5-6mL of each urine sample per group Urine Sample Component Normal Type 1 Diabetes Type 2 Diabetes Hyperthyroidism water (mL) 100 50 100 50 acetone (mL) 0 50 0 50 glucose (g) 0 yellow food coloring (mL) 0.02 1–1.5 1–1.5 (0.0056M-0.111M) (0.0056M-0.111M) 0.01 0.01 0 0.03 250mL water + 1-2 drops yellow food coloring 100mL water (colored) Normal GlycoNet 50mL water (colored) + 50mL acetone & 1-1.5g glucose Type 1 Diabetes 50mL water (colored) + 50mL water & 1-1.5g glucose Type 2 Diabetes 50mL water (colored) + 50mL acetone & 1 drop food color Hyperthyroidism 3 Expected Results: NOTE: When glucose-ketone reagent test strips, 1. Reading time does not affect results – test strips will continue darken over time 2. Ketone pad has poor sensitivity to acetone so color change is minimal Normal Type 1 Diabetes Type 2 Diabetes Hyperthyroidism References: American Thyroid Association: thyroid.org Canadian Diabetes Association: diabetes.ca Global Diabetes Community: diabetes.co.uk Medline Plus: diabetes: nlm.nih.gov/medlineplus/ency/article/001214.htm hyperthyroidism: nlm.nih.gov/medlineplus/ency/article/000356.htm National Institute of Diabetes and Digestive and Kidney Diseases: niddk.nih.gov National Kidney Foundation: kidney.org Understanding urine tests: ncbi.nlm.nih.gov/pubmedhealth/PMH0072534 GlycoNet 4