Determination of occult blood in urine

occult blood in urine

occult blood in urine

 The chemical method detects free hemoglobin and myoglobin.

occult blood in urine

Principle of occult blood in urine:-

The peroxidase activity of hemoglobin in urine decomposes hydrogen peroxide and oxidized benzidin to form a green-blue color complex.

Requirement: –

  • Testtube
  • Graduated pipette
  • Pasture pipette 
  • Benzidine powder
  • Glacial acetic acid. 
  • Hydrogen peroxidase 
  • Pipette 
  • Tips

Procedure: –

  1. Place Pinch of benzidine powder in a test tube.
  2. Add 2 to 3 drops of glacial Acetic Acid.
  3. Mix well properly.
  4. Add about 2 ml of hydrogen peroxide to the solution and mix well.
  5. After mixed add 1 ml supernatant to a test tube level T.

Observation:-

  1. If no change in color then occult blood is absent.
  2. The color is changed to Green or blue then occult blood is present.

Color.                                                Report

Green.                                               +

Greenish Blue.                                 ++

Blue.                                                   +++

Dark blue.                                         ++++

Clinical significance: –

Haematuria 

Renal disease

Bleeding disorders such as Leukemia

Thrombocytopenia

Coagulation factor sufficiency

Hemolytic anemia

Myocardial infarction

Trauma

 The chemical method detects free hemoglobin and myoglobin.

Principle:-

The peroxidase activity of hemoglobin in urine decomposes hydrogen peroxide and oxidized benzidin to form a green-blue color complex.

Requirement: –

  • Testtube
  • Graduated pipette
  • Pasture pipette 
  • Benzidine powder
  • Glacial acetic acid. 
  • Hydrogen peroxidase 
  • Pipette 
  • Tips

Procedure: –

  1. Place Pinch of benzidine powder in a test tube.
  2. Add 2 to 3 drops of glacial Acetic Acid.
  3. Mix well properly.
  4. Add about 2 ml of hydrogen peroxide to the solution and mix well.
  5. After mixed add 1 ml supernatant to a test tube level T.

Observation:-

  1. If no change in color then occult blood is absent.
  2. The color is changed to Green or blue then occult blood is present.

Color.                                                Report

Green.                                               +

Greenish Blue.                                 ++

Blue.                                                   +++

Dark blue.                                         ++++

Clinical significance: –

Haematuria 

Renal disease

Bleeding disorders such as Leukemia

Thrombocytopenia

Coagulation factor sufficiency

Hemolytic anemia

Myocardial infarction

Trauma