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Urine Osmolality

Urine Osmolality

None Given

http://www.pinboard.in/u:duty_biochemist/t:osmolality/

Urine Oxalate

Urine Oxalate

From 10/5/2018 refernce ranges will be:

100 - 460 umol/24 hour (adults, correct to 1.73m2for children)

Age related ref ranges for oxalate:creatinine ratio:

0-6 months  <291µmol/mmol

7-23 months  <220µmol/mmol

2-4 years  <143µmol/mmol

5-11 years  <76µmol/mmol

12 -17 years  <44µmol/mmol

18+ female    <45µmol/mmol

18+ male       <33µmol/mmol

Urine Protein:Creatinine ratio (Random urine)

Urine Protein:Creatinine ratio (Random urine)

  • <15 mg/mmol Creatinine = Normal
  • 15 – 49 mg/mmol Creatinine = Trace Proteinuria. Consider ACEI or ARB in diabetes.
  • 50 – 99 mg/mmol Creatinine = Significant proteinuria. Repeat using early am sample. Consider ACEI or ARB in hypertension.
  • 100 – 300 mg/mmol Creatinine = High proteinuria. If new finding, seek nephrology advice regardless of eGFR.
  • >300 mg/mmol Creatinine = “Nephrotic range” proteinuria. If new finding, seek nephrology advice regardless of eGFR.
                                      
Proteinuria is a risk factor for cardiovascular disease and for decline in GFR in CKD
UK CKD Guidelines suggest if PCR is >100 mg/mmol patient should be referred to Nephrologists irrespective of GFR.
 

Source of Reference Range: NICE guideline CG73 (2008) and UK eCKD guidelines 2009.)

 

https://pinboard.in/u:duty_biochemist/t:ACR/ http://www.nice.org.uk/nicemedia/live/12069/42117/42117.pdf http://www.renal.org/information-resources#sthash.FvEFhUZh.dpbs

Urine PYD and DPD (bone marker/bone markers)

Urine PYD and DPD (bone marker/bone markers)

Reference ranges provided by referral laboratory (July 2014).  All ranges expressed as nmol/mmol creatinine.

 

  Males Females
  PYD/Cre DPD/Cre PYD/Cre DPD/Cre
4-5 yrs 58.7-85.0 17.4-24.3 63.7-85.1 17.2-25.1
5-6 yrs 54.7-83.0 15.9-22.5 55.7-82.9 14.8-22.1
6-7 yrs 53.0-76.7 14.8-22.3 57.6-77.5 13.8-21.2
7-8 yrs 51.6-72.2 14.6-22.1 55.3-75.1 15.2-21.0
8-9 yrs 46.1-63.4 12.0-16.1 49.9-66.9 12.6-18.4
9-10yrs 49.5-67.3 12.3-16.3 58.5-79.4 15.7-22.4
10-11 yrs 45.7-67.4 12.6-18.8 47.3-71.5 13.2-18.9
11-12 yrs 45.5-66.3 12.4-18.6 50.6-88.8 14.9-25.3
12-13 yrs 43.6-56.6 11.7-17.4 46.3-73.6 13.1-22.1
13-14 yrs 42.6-84.5 11.2-23.9 44.1-65.3 11.9-18.2
14-15 yrs 40.7-89.3 10.9-25.6 35.3-52.5 8.7-17.6
15-16 yrs 35.4-84.3 9.8-22.2 26.5-48.8 5.1-14.9
16-17 yrs 28.8-68.3 7.1-18.7 19.6-37.1 3.0-9.4
Adult 5.0-21.8 0.4-6.4 pre-menopause 20-39yrs: 7.8-20.4 1.8-6.4
      pre-menopause >40 yrs: 8.1-21.2 2.1-6.7
      post-menopause: 7.1-31.8 1.5-8.6

 

Urine PYD and DPD (bone marker/bone markers)

Urine PYD and DPD (bone marker/bone markers)

Reference ranges provided by referral laboratory (July 2014).  All ranges expressed as nmol/mmol creatinine.

 

  Males Females
  PYD/Cre DPD/Cre PYD/Cre DPD/Cre
4-5 yrs 58.7-85.0 17.4-24.3 63.7-85.1 17.2-25.1
5-6 yrs 54.7-83.0 15.9-22.5 55.7-82.9 14.8-22.1
6-7 yrs 53.0-76.7 14.8-22.3 57.6-77.5 13.8-21.2
7-8 yrs 51.6-72.2 14.6-22.1 55.3-75.1 15.2-21.0
8-9 yrs 46.1-63.4 12.0-16.1 49.9-66.9 12.6-18.4
9-10yrs 49.5-67.3 12.3-16.3 58.5-79.4 15.7-22.4
10-11 yrs 45.7-67.4 12.6-18.8 47.3-71.5 13.2-18.9
11-12 yrs 45.5-66.3 12.4-18.6 50.6-88.8 14.9-25.3
12-13 yrs 43.6-56.6 11.7-17.4 46.3-73.6 13.1-22.1
13-14 yrs 42.6-84.5 11.2-23.9 44.1-65.3 11.9-18.2
14-15 yrs 40.7-89.3 10.9-25.6 35.3-52.5 8.7-17.6
15-16 yrs 35.4-84.3 9.8-22.2 26.5-48.8 5.1-14.9
16-17 yrs 28.8-68.3 7.1-18.7 19.6-37.1 3.0-9.4
Adult 5.0-21.8 0.4-6.4 pre-menopause 20-39yrs: 7.8-20.4 1.8-6.4
      pre-menopause >40 yrs: 8.1-21.2 2.1-6.7
      post-menopause: 7.1-31.8 1.5-8.6

 

Urine Steroid Profile

Urine Steroid Profile

Provided by Reference Laboratory

http://www.sas-centre.org/assays/hormones/steroidprofile.html

Urine Uric Acid (Urate)

Urine Uric Acid (Urate)

1.5-4.5 mmol/24 hours

Source : Pathology Harmony Recommendations

https://pinboard.in/u:duty_biochemist/t:Urate/

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