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Dtsch Med Wochenschr 2018; 113(13): 965-969
DOI: 10.1055/s-0043-123436
Schritt für Schritt
© Georg Thieme Verlag KG Stuttgart · New York

Urinuntersuchung – Schritt für Schritt

Urine Examination – Step by Step
Martin Kimmel
,
Dagmar Biegger
,
Mark Dominik Alscher
Further Information

Publication History

Publication Date:
04 July 2018 (online)

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Abstract

The examination of the urine is the oldest and a very basic technique for every nephrologist. It helps to detect, diagnose and classify diseases of the kidneys and the urinary tract. Proteinuria is an important sign of kidney disease and an own factor in the pathophysiology of renal progression. Acanthocytes in the urine (> 5 %) have a high specifity (98 – 100 %) for diagnosing a glomerular hematuria.

Die Urinuntersuchung ist zwar die älteste Methode, um Erkrankungen der Nieren und der ableitenden Harnwege zu erkennen. Sie hat aber immer noch einen zentralen Stellenwert in der Diagnostik von Nierenerkrankungen [1] [2].

Schlüsselwörter

Urinsediment - Proteinurie - glomeruläre Hämaturie

Key words

urine sediment - proteinuria - glomerular hematuria
 

  • Literatur

  • 1 Fogazzi GB, Verdesca S, Garigali G. Urinalysis: core curriculum 2008. Am J Kidney Dis 2008; 51: 1052-1067
    CrossrefPubMedGoogle Scholar
  • 2 Eknoyan G. Looking at the urine: the renaissance of an unbroken tradition. Am J Kidney Dis 2007; 49: 865-872
    CrossrefPubMedGoogle Scholar
  • 3 Kouri TT, Gant VA, Fogazzi GB. et al. Towards European urinalysis guidelines. Introduction of a project under European Confederation of Laboratory Medicine. Clin Chim Acta 2000; 297: 305-311
    CrossrefPubMedGoogle Scholar
  • 4 Fogazzi GB, Grignani S. Urine microscopic analysis--an art abandoned by nephrologists?. Nephrol Dial Transplant 1998; 13: 2485-2487
    CrossrefPubMedGoogle Scholar
  • 5 Fogazzi GB, Garigali G. The clinical art and science of urine microscopy. Curr Opin Nephrol Hypertens 2003; 12: 625-632
    CrossrefPubMedGoogle Scholar
  • 6 Cohen RA, Brown RS. Clinical practice. Microscopic hematuria. N Engl J Med 2003; 348: 2330-2338
    PubMedGoogle Scholar
  • 7 Kohler H, Wandel E, Brunck B. Acanthocyturia – a characteristic marker for glomerular bleeding. Kidney Int 1991; 40: 115-120
    CrossrefPubMedGoogle Scholar
  • 8 Kitamoto Y, Tomita M, Akamine M. et al. Differentiation of hematuria using a uniquely shaped red cell. Nephron 1993; 64: 32-36
    CrossrefPubMedGoogle Scholar
  • 9 Kimmel M, Shi J, Wasser C. et al. Urinary [TIMP-2]·[IGFBP7] – Novel Biomarkers to Predict Acute Kidney Injury. Am J Nephrol 2016; 43: 375-382
    CrossrefPubMedGoogle Scholar
  • 10 Kimmel M, Schanz M, Alscher MD. Risk prediction of acute kidney injury by [TIMP-2]·[IGFBP7]. Drugs Today (Barc) 2017; 53: 349-356
    CrossrefPubMedGoogle Scholar
  • 11 Becker GJ, Garigali G, Fogazzi GB. Advances in Urine Microscopy. Am J Kidney Dis 2016; 67: 954-964
    CrossrefPubMedGoogle Scholar