To perform the heat test, two thirds of a
test tube is filled with urine. It is held at a slant and the lower half of the
tube is heated until boiling point.
If turbidity appears, two drops of 10%
acetic acid (vinergar) are added to exclude the possible presence of
phosphates. If this turbidity due to phosphate, turbidity will disappear after adding acid. The
degree of turbidity is read against a background of black print. Proteinuria is
graded according to the degree of turbidity.
Grading of proteinuria
Nil - no turbidity
Trace - slight turbidity with no difficulty
in reading the print
+ - clouding of the print but possible to
read the print
++ - cannot read the print but can notice
black
+++ - cannot notice black
++++ - cannot notice black and with
precipitate
The sulphosalicylic acid test also a recommended test to detect proteinuria.
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