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General Information

Course ID (CB01A and CB01B)
HTEC D081A
Course Title (CB02)
Clinical Urinalysis Lecture
Course Credit Status
Credit - Degree Applicable
Effective Term
Fall 2023
Course Description
This course introduces the student to urine formation including renal anatomy and physiology, renal diseases, and metabolic disorders. The course content also includes basic body fluids and case studies correlating clinical laboratory testing results to possible disease states. This course must be completed in order to qualify for the clinical externship and take the licensing exam.
Faculty Requirements
Course Family
Not Applicable

Course Justification

This course is CSU transferable and part of a CTE program. It was developed based on the National Accrediting Agency of Clinical Laboratory Sciences and California State Department of Public Health accreditation standards required for Medical Laboratory Technicians' training programs. This course meets part of the requirement for the Associate's degree in Medical Laboratory Technology. This course introduces students to the study of urine and other body fluids.

Foothill Equivalency

Does the course have a Foothill equivalent?
No
Foothill Course ID

Course Philosophy

Formerly Statement

Course Development Options

Basic Skill Status (CB08)
Course is not a basic skills course.
Grade Options
  • Letter Grade
  • Pass/No Pass
Repeat Limit
0

Transferability & Gen. Ed. Options

Transferability
Transferable to CSU only

Units and Hours

Summary

Minimum Credit Units
1.5
Maximum Credit Units
1.5

Weekly Student Hours

TypeIn ClassOut of Class
Lecture Hours1.53.0
Laboratory Hours0.00.0

Course Student Hours

Course Duration (Weeks)
12.0
Hours per unit divisor
36.0
Course In-Class (Contact) Hours
Lecture
18.0
Laboratory
0.0
Total
18.0
Course Out-of-Class Hours
Lecture
36.0
Laboratory
0.0
NA
0.0
Total
36.0

Prerequisite(s)

Corequisite(s)

HTEC D081.

Advisory(ies)

Limitation(s) on Enrollment

Entrance Skill(s)

General Course Statement(s)

Methods of Instruction

Lecture and visual aids

Discussion of assigned reading

Discussion and problem solving performed in class

Quiz and examination review performed in class

Collaborative learning and small group exercises

Collaborative projects

Homework and extended projects

Assignments

  1. Readings from textbook and supplemental sources.
  2. Collaborative learning exercises such as analysis of case studies, completion of investigative activities and other exercises designed to reinforce course content and allow for the application of subject matter.

Methods of Evaluation

  1. Written Assignments designed to evaluate the student's critical analysis and discussion of case studies presented in lecture or in assigned readings are assigned points toward final grade. A rubric is used to determine a total number of "points" for the given assignment. (The number value of the assignment.) The number received by the student is then calculated as a percent out of the total number.
  2. Class activity - Discussions and oral question and answer sessions that test comprehension and require synthesis and application of course material.
  3. Comprehensive Final Examination - Written test requiring the student to demonstrate their ability to summarize, integrate and critically analyze concepts examined throughout the course.
  4. Collaborative projects will be a group presentation. Projects will be evaluated on preparation, presentation, delivery and content.
  5. Quizzes - Objective/subjective quizzes that test comprehension and require synthesis and application of course material on a routine basis and help identify any areas that may need extra attention.
  6. Problem solving - Case studies evaluate the students ability to apply critical thinking skills to a clinical situation.

Essential Student Materials/Essential College Facilities

Essential Student Materials
  • Computer and access to the internet
Essential College Facilities
  • None.

Examples of Primary Texts and References

AuthorTitlePublisherDate/EditionISBN
Strasinger, Susan and Marjorie Schuab Di LorenzoUrinalysis and Body FluidsPhiladelphia: F.A. Davis Company2020/ 7th EditionISBN-13: 978-0803675827

Examples of Supporting Texts and References

None.

Learning Outcomes and Objectives

Course Objectives

  • Examine renal anatomy and physiology.
  • Evaluate urine composition, volume and specimen collection.
  • Analyze the types of quality control and quality assurance used in the urinalysis department.
  • Differentiate among renal diseases of glomerular, tubular, interstitial, and vascular origin.
  • Explain the abnormal accumulation of metabolites in the urine in terms of overflow and renal disorders.
  • Evaluate analysis of miscellaneous specimens.
  • Evaluate analysis of extravascular fluids.

CSLOs

  • Identify the parts of a kidney diagram, trace the path of blood flow and urine formation to include reabsorption and secretion.

Outline

  1. Examine renal anatomy and physiology.
    1. Diagram the formation of urine by tracing its formation through the kidney.
    2. Compare and contrast major physiologic functions the kidney employs during urine formation.
    3. Prepare a list of the substances found in normal urine.
    4. Identify the components of the nephron, kidney and excretory system.
    5. Identify laboratory procedures used to evaluate glomerular filtration, tubular reabsorption, secretion and renal blood flow.
    6. Discuss the advantages and disadvantages in using urea, insulin, creatinine, beta microglobulin and radionucleotides to measure glomerular filtration rate.
    7. Calculate creatinine clearance and determine if the result is within normal range.
    8. Correlate abnormal urine results with clinical diagnosis.
  2. Evaluate urine composition, volume and specimen collection.
    1. List the three major organic and three major inorganic chemical constituents of urine.
    2. Recognize normal and abnormal daily urine volumes.
    3. Correlate the type of urine specimen (random, first morning, fasting, 24-hours, catheterized, midstream clean catch, suprapubic aspiration and three-glass collection with their testing purpose.
    4. Describe the correct methodology for labeling urine specimens.
    5. Predict observed changes and mechanism of change in improperly stored urine specimens (urines that remain at room temperature for more than 2 hours.)
    6. Given urinalysis laboratory results, differentiate between diabetes mellitus and diabetes insipidus.
  3. Analyze the types of quality control and quality assurance used in the urinalysis department.
    1. List the information that must be included for each procedure in a clinical laboratory procedure manual.
    2. Match quality control/quality assurance acronyms with their definitions.
    3. Categorize clinical laboratory factors as preanalytical, analytical or post-analytical.
    4. Outline the seven main areas of laboratory testing affected by CLIA'88 stipulations or regulations.
    5. Discuss the importance of continuous quality improvement (CQI) and total quality management (TQM)including the recommendations of the Joint Commission on Accreditation of Healthcare Organizations.
  4. Differentiate among renal diseases of glomerular, tubular, interstitial, and vascular origin.
    1. Describe the process by which immunologic damage is produced to the glomerular membrane.
    2. Correlate the clinical course and significant laboratory results for each disease presented in lecture.
    3. Diagnose possible renal disease given characteristic clinical symptoms, etiology and urinalysis findings.
  5. Explain the abnormal accumulation of metabolites in the urine in terms of overflow and renal disorders.
    1. Summarize each disease discussed in lecture including distinguishing charactgeristics, clinical manifestations, laboratory findings, pathology and treatment.
    2. Interpret the Guthrie Bacterial Inhibition test.
    3. Diagnose possible metabolic disorders, given clinical laboratory data and patient history.
  6. Evaluate analysis of miscellaneous specimens.
    1. Explain the principle of the guiac test for occult blood.
    2. Evaluate the clinical significance of pregnancy tests; include a description of the test principle and common interferences.
  7. Evaluate analysis of extravascular fluids.
    1. Differentiate the components of routine examination, including gross examination, cell counts, morphologic examination, and common chemical test of cerebrospinal fluid.
    2. Differentiate the components of routine examination, including gross examination, cell counts, morphologic examination, and common chemical test of serous fluid.
    3. Differentiate the components of routine examination, including gross examination, cell counts, morphologic examination, and common chemical test of synovial fluid.
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