If a 24-hour urine collection yields less than 0.8 g/day of creatinine, what does this typically indicate?

If a 24-hour urine collection yields less than 0.8 g/day of creatinine, what does this typically indicate?

• A. Excessive hydration
• B. Complete urine retention
• C. Some of the urine was probably discarded
• D. Normal kidney function

Answer: (C)

A 24-hour urine collection yielding less than 0.8 g/day of creatinine typically indicates that some of the urine was probably discarded. This low level suggests that the amount of creatinine excreted is lower than expected and may not accurately represent the individual's renal function or muscle mass. In healthy individuals, creatinine production is relatively stable and is dependent on muscle mass. A collection yielding such a low concentration may indicate that the entire urine output was not collected or there was a failure in the collection process, leading to underestimation. The other options suggest various conditions, but they do not align with the implication of low creatinine levels in a 24-hour collection. Excessive hydration could dilute urine, but it would not typically drop creatinine levels to such a low mark. Complete urine retention would result in high creatinine levels rather than low. Lastly, normal kidney function usually corresponds with a typical range of daily creatinine excretion, which is not suggested by a result of less than 0.8 g/day.

A 24-hour urine collection yielding less than 0.8 g/day of creatinine typically indicates that some of the urine was probably discarded. This low level suggests that the amount of creatinine excreted is lower than expected and may not accurately represent the individual's renal function or muscle mass.

In healthy individuals, creatinine production is relatively stable and is dependent on muscle mass. A collection yielding such a low concentration may indicate that the entire urine output was not collected or there was a failure in the collection process, leading to underestimation.

The other options suggest various conditions, but they do not align with the implication of low creatinine levels in a 24-hour collection. Excessive hydration could dilute urine, but it would not typically drop creatinine levels to such a low mark. Complete urine retention would result in high creatinine levels rather than low. Lastly, normal kidney function usually corresponds with a typical range of daily creatinine excretion, which is not suggested by a result of less than 0.8 g/day.