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Wheeless' Textbook of Orthopaedics
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Tracking Pixel

Urine analysis: Specific Gravity: > 1.023 indicates nl [ abilities


- Increased: - Volume depletion, CHF, Adrenal Insufficiency, DM, SIADH, Increased proteins (nephrosis) (upto 1.050); - If markedly increased (1.040-1.050), Suspect artifact or excretion of radiographic contrast media; - Decreased: - DI, Pyelonephritis, Glomerulonephritis, Waterload w/ Nl Renal Function; - Misc: - Specific gravity varies inversely with urine excretion - In some conditions this relationship is affected: - Diabetes: increased volume; increased specific gravity; - HTN: normal volume; decreased specific gravity; - Early chronic renal disease: increased volume; decreased spec. gravity; - Interfering Factors: - SG highest in the AM sample - Elevated with Excess water loss - contrast media in contrasts (and dextrin): false positive;



Original Text by Clifford R. Wheeless, III, MD.