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Urine Colour

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Normally, urine is some shade of yellow with acid urine usually a darker colour than alkaline urine. Pathologically, it may be any colour.

12
ColourCauses
Green
  • Drugs: Cimetidine, Promethazine, Amitriptyline, Flutamide, Indomethacin, Methocarbamol, Methylene blue, Mitoxantrone, Propofol, Phenylbutazone, Triamterene
  • Condition: Hartnup Disease, Indicanemia, Indicanuria
  • Infection: Pseudomonas Infection
  • Dyes: Carbolic Acid, Flavine derivatives, Indigo Blue, Methylene Blue, Resorcinol
  • Other: Clorets, Listerine, Magnesium Salicylate, Asparagus
  • Cases: Verdant waste - How Green is my urine
Orange
  • Drugs: Idarubicin, Ferrioxamine, Oxamniquine, Phenazopyridine, Rifampicin, Sulfasalazine, Warfarin
  • Food/supplements: Carotenes, B-complex vitamins, Senna, Rhubarb, Beets and blackberries
  • Condition (hypercarotenemia): Diabetes mellitus, hyperlipidemia, hypothyroidism, porphyria
  • Case: Where are the lemons?
Red
  • Stones: (calculi in the renal pelvis, ureter or bladder)
  • Malignancy— TCC, RCC, Wilms
  • Trauma—blunt or penetrating trauma to the abdomen or pelvis; a catheter will commonly cause haematuria. BPH is a common cause of intermittent gross haematuria
  • Renal: Primary renal disease (e.g. glomerulonephritis; including IgA-related, membranous, mesangiocapillary, focal and minimal change). Renal disease associated with / due to / secondary to systemic vasculitis (e.g. SLE, polyarteritis nodosa), Papillary necrosis secondary to analgesic nephropathy or diabetic nephrosclerosis. Hereditary (e.g. Alport’s syndrome).
  • Infection: Pyelonephritis, UTI, pyonephrosis, cystitis, prostatitis, TB, schistosomiasis
  • Coagulopathy: Anticoagulation, Inherited defect (e.g. haemophilia, Von Willebrand’s), Acquired defect (e.g. DIC, thrombocytopenia).
Red-Brown
  • Drugs: Levadopa, nitrofurantoin, metronidazole
  • Condition: Rhabdomyolosis (myoglobinuria), bile pigment
  • Other: Fava beans
  • Case: Mahogany Myoglobinuria
Purple
  • Infection: Bacteria such as Providencia stuartii, Klebsiella pneumoniae, P. aeruginosa, Escherichia coli, and enterococcus species.
  • Condition: Hartnup Disease, Indicanemia, Indicanuria
  • Case: Tyrian Rage
Black


Milky

References and Links

CCC 700 6

Critical Care

Compendium

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About Dr Mike Cadogan

Emergency physician | medical informatics | medical education/textbooks. Asynchronous learning #FOAMed evangelist. | @sandnsurf | LinkedIn

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