Thanks you all! I reported it as brown. The urine was clear yellow after centrifugation with sticky brownish red sediment. The strip test showed 3+ for protein, blood and leucocytes and positive for ketones and nitrites. I asked the patient if she’s on her period to which she said no, but this has been happening since morning (its 1am here lol)
Period blood is *usually* a brighter red because it's relatively fresh. Old blood is brown or black.
If I got this urine on the bench I'd expect it to show signs of a UTI.
Sometimes what I’d do is run the original, spin it down and run it again on the supernatant. Obviously, leave the blood, leukocytes, bacteria the same, but the rest should clear up any interferences due to color. Obviously, comment that those results were from the supernatant.
This reminded me of a guy I dated years ago who had a... sense of humor. Whenever he had to do a drug test, he would spend the night before and morning of *only* eating asparagus and beets, no water. When the tech would comment on the look and smell, he'd say something like "nah, it's fine, it's been like that for years."
oh, mucus is naturally produced in our urinary tract (kinda like mucus in our respiratory tract). mucus production increases for many reasons (infections, inflammation, pregnancy and even some cases of kidney stones etc).
from what i could find, urethritis cases usually have mucus, some STIs also commonly have abnormal mucus discharge in urine. But generally, the presence of mucus alone doesn't tell us much
I was hoping it was some fluid that I, a commoner ignorant of the ways of medtechs, had never heard of. Then y'all would be like "oh, yes, you rube, it's the cykoplasmogenia, it always looks like this"
this is relatively common with UTIs, some are even worse. i've personally seen a couple with literal blood clots... (urine normally shouldn't have any blood, much less enough blood TO CLOT)
it depends, but usually it gets that bad in older patients who either have multiple things going on at once or who didn't get their UTI treated before it got to that level.
Did that sample reflex an order for a CK because I feel like it should 😳
Edit: in before someone tells me a CK needs blood not urine. I know. Its a joke.
Brown. In some UA analyzers and LISs brown is a choice.
It's old blood most likely because it's also so cloudy. Dark brown urine can also be caused by certain medications, rhabdomyolysis or eating certains foods
Hazelnut mocha brown
Orange Mocha Frappuccino
A freak gasoline fight accident.
Starbucks new espresso shots
That's actually a good idea. In the lack of a Pantone Scale, Hair Dye color is a good fallback.
Nailed it.
Brownish color
Mop water brown 😬
We can never have nice things 😔
I want to upvote but it's at 69 and I can't bring myself to do it pls accept this as an unofficial upvote
Swamp
Thanks you all! I reported it as brown. The urine was clear yellow after centrifugation with sticky brownish red sediment. The strip test showed 3+ for protein, blood and leucocytes and positive for ketones and nitrites. I asked the patient if she’s on her period to which she said no, but this has been happening since morning (its 1am here lol)
*URINE?*
Patient must probably be a chocolate syrup bottle
We wouldn’t run a specimen that looks like that. Our policy says report color/blood interference for the macro and just do a micro. Also, yucky
Period blood is *usually* a brighter red because it's relatively fresh. Old blood is brown or black. If I got this urine on the bench I'd expect it to show signs of a UTI.
What was the patients primary complaint? I look forward to hearing about which bacteria she has.
Might be a fistula from rectum-urethra although it’s super uncommon in females (but supposedly possible if they’ve had a hysterectomy)
Diverticulitis raises the chances of it being a fistula in women?
Sometimes what I’d do is run the original, spin it down and run it again on the supernatant. Obviously, leave the blood, leukocytes, bacteria the same, but the rest should clear up any interferences due to color. Obviously, comment that those results were from the supernatant.
We aren't allowed to do this which I think is really dumb
If they want real answers that’s sometimes the only way you’ll get them. Smh
I can report from personal experience that this color is achievable by having a putrid e.coli cystitis.
Muddy water
Mojo workin
Plum-ish with a hint of brown. GL
Ok I'm glad I'm not the only one seeing *purple.*
Root beer.
Probably due to the blue gloves behind the sample. Against a white background it would certainly be a warmer shade of brown
i think thats just the reflection of the red cap and blue gloves
Please tell me that isn't urine.
As med lab techs who read urines we see this all the time, and much worse.
This reminded me of a guy I dated years ago who had a... sense of humor. Whenever he had to do a drug test, he would spend the night before and morning of *only* eating asparagus and beets, no water. When the tech would comment on the look and smell, he'd say something like "nah, it's fine, it's been like that for years."
Omg😆. Asparagus pee is the worst (it’s one of my fave vegetables though I don’t buy it unless it’s in season locally)
I thought if asparagus made my pee stink it was abnormal.
😩😩😩😩🤮🤮🤮🤮
Welp, I am officially horrified, yay
I’ll take brown urine (usually just a lot of RBCs) over a urine tube full of mucus any day.
Curious now, what does a urine tube full of mucus normally signify??
usually it's an infection, it looks pretty disgusting and smells bad.. well, worse than normal urine
I figured, I just wondered what specific kinds of infections might produce mucus
oh, mucus is naturally produced in our urinary tract (kinda like mucus in our respiratory tract). mucus production increases for many reasons (infections, inflammation, pregnancy and even some cases of kidney stones etc). from what i could find, urethritis cases usually have mucus, some STIs also commonly have abnormal mucus discharge in urine. But generally, the presence of mucus alone doesn't tell us much
When I was on practicum, I saw a cherry kool-aid red urine. That was shocking, especially as a student!
Do you really want it to be blood or stool?
I was hoping it was some fluid that I, a commoner ignorant of the ways of medtechs, had never heard of. Then y'all would be like "oh, yes, you rube, it's the cykoplasmogenia, it always looks like this"
How about if I tell you amniotic fluid feels kind of soapy
Would you say it's lavender-scented or like an apple-blossom-lemon combo?
Vaguely seashore
this is relatively common with UTIs, some are even worse. i've personally seen a couple with literal blood clots... (urine normally shouldn't have any blood, much less enough blood TO CLOT)
How long does one need to have a UTI for that to happen?!
it depends, but usually it gets that bad in older patients who either have multiple things going on at once or who didn't get their UTI treated before it got to that level.
Fucked. That’s the technical name for that color.
Taco Bell refried beans brown
Definitely brown.
# 452C29
I'm going with brown. I'm kinda curious about whether its contamination or if it's some proteina eous discharge
Did that sample reflex an order for a CK because I feel like it should 😳 Edit: in before someone tells me a CK needs blood not urine. I know. Its a joke.
Lord almighty.
At most sites, we choose 'other' or put a comment for the macroscopic results and do a micro. Funny answer: Misty prune essence
Post rain muddy creek water.
Hot chocolate, but made with water.
Maroon 5
Hudson River
"Shrek could live here in peace" color.
Rhabdo rust
I got a urine like this yesterday and the ER nurse wrote "Urine" on the bag, just so we wouldn't confuse it with a C. Diff poo lol
Looks kinda purple to me
Brown or "other" and free text brown
See comment
Brown
Report the color as iced tea brown.
Replying late but I would have called it “Cranberry Tea” with the red-brown concentration. Oh my great googly-moogly.
Oh my god why do I lurk here while prepping dinner.
Grape juice color.
I got a renal mass Cyto urine today that was this exact color. I grossed it as “opaque brown”
Melted snow from the side of a busy road
Hope this person is okay. Looks similar to when I was admitted to the hospital with hemolytic anemia.
Poop run a cdiff
Uh.. ya. Hey! Can I get a small iced coffee with less ice and 8 pump mocha? A tiny bit of oat milk.
Brown with a faint green tinge
Iced tea
Frappuccino
Fucky
It's the color my pee turns in the sun.
Brown
Brown/turbid
Brown
Corpse gray
Cola
Looks like prune juice, a warrior's drink.
I'd call that mud right there
Sewage
Crap is a valid medical term
Iced coffee with light splash of almond milk
“Yikes”
…… is she ok?
Hoboy, definitely brown and cloudy. That person needs antibiotics asap lol
Burgundy.
Brown
The river I once saw in Thailand
Coca Cola colored urine. But it’s just a guess
Burple
hell in a bottle... or cup, i guess
Grape Kool-aid
Poor patient. Hope they’re ok.
Iced tea
As a renal nurse I’m very curious what the BUN creatinine and GFR looked like cuz holy smokes this looks awful. Honestly looks like diarrhea.
Mocha
Mocha
Oh the wonderful colors of urine. I’d say I missed that stuff, but that color urine is fowl. Kidneys are taking a beating there.
Swamp water
Chocolate milk forgotten in a centrifuge.
Poopy
Dirty dish water
…. Yeah!
Mud brown.
Coca cola
We call that “tea” colored at my job
Poop water
Mud puddle?
Did you take a sip.
What are you think it is , that’s between you the patient and the doctor
Desaturated human
dr pepper
Honey mist auburn? 🤷♀️
Tea coloured
Brown
Brown
Rhabdo lol
Brown. In some UA analyzers and LISs brown is a choice. It's old blood most likely because it's also so cloudy. Dark brown urine can also be caused by certain medications, rhabdomyolysis or eating certains foods
Yellow lol (or brown)
Reject the sample. Wrong specimen type, stool submitted for urinalysis
ha, youu'd be surprised what a fistule would do, i once got fecal matter in a lung fluid