Saturday, 13 June 2020

Urine for pregancy tests


Q. 15:    What is  meant by False   Positive   and False  negative  hCG Tests??
False negative readings can occur when testing is done  too early and earlier  the test is performed the higher the chance  of a false     negative results. A  false  negative result  can also  stem   from using  a diluted urine   sample  apart from taking  a  test too early  in pregnancy. First morning  urine  contains  the  most concentrated  presence   of hCG  which makes  it the ideal  sample for pregnancy testing . False   positive  tests are rare through there are  instances and conditions   where they  can occur. In case   some tissues  in a non pregnant    women  produce hCG it may give a  false  positive  test.
 False  positive  results can result   from  diseases like  chorio carcinomas. IgA deficiencies  hetero plastic diseases gestational  trophoblastic neoplasms and testicular  germ cell   malignancies . Secondly  research  indicates  that half   of all conception do  not go  forward to develop  as pregnancy  and may abort. A false positive can be seen in this  situation.
Medications that can cause  a false   positive   are the fertility  medications that   contain hCG. However     fertility drugs   and medications   that do not contain hCG  will not precipitate false positive    as well .

A percentage of   false positive  pregnancy   tests  can  also be  attributed  to misinterpretation   of results  due to a failure   to  follow  UPT test instructions   with precision. Additionally at the same gestational stages women produce   quantitatively   different levels   of hCG . Hence    the first indication of a positive  result on a home  pregnancy    test may vary between women despite   similar gestational  stage.
Q. 16:-If we are entrusted to carry out UPT at our clinic by yourself/  by your clinic staff then teach clinic staff hat there is one term called.”Evaporation time”: Have U talked to your staff  in this regard. : Moreover   many home  pregnancy  tests  show a  positive   or unclear  result when  read  well  after the  suggested 3-5  minute window; independent of an actual  pregnancy. This type of false positive   is known  as an evaporation line.
Q. 17: WE heard of phantom leg syndrome(people who had amputation of one leg due to street injury-sometimes get severe pain in that excised leg!!)  Similar Phantom hCG inks possible : Some individuals react to some substrate in the  test  and thus will display  a consistently  low positive   blood pregnancy  test even  though  they are not  pregnant. This phantom  hCG may lead  to serious  misdiagnosis   and intervention, but  can be detected  with serial   dilutions. Patients   with phantom hCG have a positive blood hCg but a negative urine hcG test



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