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Urine Dipstick detects acetic acid (Acetoacetate)
- In Diabetic Ketoacidosis, Beta-Hydroxybutyrate (primary Ketone) is converted to Acetoacetate
- Confirmatory Test
- Urine
- Acetest tablet test
- Serum Ketone (preferred)
- Beta-Hydroxybutyrate
- Preferred Serum Ketone test
- Basic chemistry panel
- Ketoacidosis
- Low serum bicarbonate
- Increased Anion Gap
- Normal or resolving Ketoacidosis
- Normal serum bicarbonate
- Normal Anion Gap
- Ketoacidosis
- Beta-Hydroxybutyrate
- Urine
- Normal
- Negative
- True Positive Urine Ketones
- Dehydration
- Starvation or Low Carbohydrate Diets (Ketogenic Diet)
- Diabetic Ketoacidosis (DKA)
- Alcoholic Ketoacidosis
- Isopropanol toxicity
- Pregnancy
- False Positive Urine Ketones
- Low Urine pH (acidic)
- Increased Urine Specific Gravity
- Phenolphthalein
- Levodopa
- False Negative Urine Ketones
- Delayed Urine Exam
- Not all Ketones (Beta-Hydroxybutyrate, Acetoacetate, Acetone) are detected by all Urine Dipstick tests
- Most Urine Dipsticks detect Acetoacetate