Anonymous
Anonymous asked in HealthMen's Health · 1 month ago

Urine testing no longer routine?

do you think urinalysis should always be a part of a physical examination? Why or why not?

6 Answers

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  • Nick
    Lv 7
    1 month ago

    of course, how else could you analyse wht's going on in your body

  • Anonymous
    1 month ago

    There are many conditions that can be detected in a urine test

  • 1 month ago

    --  Yes, if it is an annual check-up or a full physical check-up, then urine AND blood tests should be a normal part of the examination.

    --  If it is just a visit to the doctor for any other reason, the urine and blood tests, if taken, should only to confirm a possible diagnoses.

  • 1 month ago

    No.

    However, if a physical exam reveals a suspected medical condition that warrants a urinalysis then one should be ordered to confirm or deny that suspicion.

    Bear in mind that a urinalysis can be used to test for more things than just drug use.

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  • 1 month ago

    no.. because of 2 main reasons.. first, physical examination does NOT include lab investigations.. technically speaking, when making a diagnosis, you need History, Physical examination and lab/radiological findings - and this is taught to medical schools everywhere.. MSE or mental status examination (in psychiatry and mental illnesses) is included under the physical examination but not urine analysis..

    the second reason is that medical schools and medical professionals prescribe to Sutton's Law (another basic concept taught to medical students) - it basically states that we test what needed to be tested.. if you came to see a doctor about a rash in the foot, the doctor would NOT order urinanalysis because most simple foot rash do NOT affect the urine or the urinary tract infection.. however, if he/she suspects diabetes and the GM glucometer machine was not available, a simple urinanalysis could suggest Dibaetes Mellitus..

    third reason (this may differ from institution to another) urinanalysis is not a very specific term: there is the simple urine dip-stick (a small strip of plastic/paper is dropped into the urine) which is a simple and not too informative nor accurate procedure, and then there is UFEME (urine full examination and microscopic examination is often conducted by a lab.. a UPT or a urinary pregnancy test is also considered a urinanalysis because it analysis the urine for pregnancy hormones..

    in my country, a urinanalysis is UFEME and not to be confused with the simple dip-stick test or UPT - but your country may not see it that way. the answer to your question is mainly the second reason.. Sutton's Law is one of the few things that fails a medical student in his/her final exams.. a medical doctor needs to be a safe doctor and a cost-effective doctor.. and i know that this is not ideal, but if medical procedures were cheap and available without worrying about cost and lab-time, i would consider colonoscopy, CBC (or FBC), blood urea and serum electrolyte to be administrated to everyone who walks in to see a doctor.. but until medical procedures and tools are dirt-cheap, medical doctors will continue to prescribe to Sutton's law..

    Sutton's Law "go where is the money is.. and go there often.." - named after an accomplished bank robber who had the talent to accomplish his operations with minimal and focused mindset.. he would not need a gun if the gun was not needed, and he would not need an axe if an axe was not needed.. in his mindset, he only need the tools to accomplish a well defined goal and doctors are taught to do the same.. you do not need a urinanalysis, if urinanalysis is not needed.. you do not order a urinanalysis for a simple foot rash unless there is a need for it.. curiosity is not a good enough reason..

  • Sandy
    Lv 7
    1 month ago

    absolutely. the test lets you know how your kidneys are operating. there's a lot of junk that could be in there that can help diagnose anything wrong.

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