Urinalysis Interpretation Made Easy - Online CME Course


From a simple urine dipstick test to microscopic examination, the urinalysis is among the most common and useful tests available.

Looking for clarity on how to interpret urinalysis results?  

Are you brushing past some results because you don't understand their clinical significance?

In Urinalysis Explained Clearly, renowned instructor Dr. Roger Seheult illustrates each urinalysis finding in a series of digestible videos, quizzes, and case studies.




Clinicians and students in emergency medicine, critical care, and ICU settings. Physicians, nurse practitioners, physician assistants, & nurses who seek clarity with urinalysis interpretation. 


Dr. Seheult is trusted by Universities, students, and medical professionals, for his ability to illustrate key concepts so they are understood, not memorized...

... and clear understanding leads to competence and avoiding those dreaded feelings of information overload!

It has never been easier to understand urinalysis.  Watch this video series now to achieve clarity - resulting in better patient care and exam scores.



  • The pros and cons of each urine collection method 
  • A breakdown of what each urinalysis result means (protein, nitrites, blood, etc.)
  • The difference between bilirubin and urobilinogen
  • A review of urine electrolytes
  • How to perform a gross assessment of urine 
  • Illustrations of the key urine crystals and casts
  • Helpful ways to utilize equations such as FENa, FEUrea, TTKG, and Urinary anion gap
  • Quiz questions and case studies to reinforce core concepts and help you study
  • Includes 3 CME (Category 1), MOC Points, CE Credits 
  • 1 year of full unlimited access on up to 3 devices



Urinary Casts

Course Content
  • Principles of Urine Collection Methods
  • Quiz 1
  • Heme, Leukocyte Esterase, Nitrite, Protein, pH
  • Quiz 2
  • Glucose and Ketones in Urine (free trial) free trial
  • Quiz 3 free trial
  • Bilirubin, Urobilinogen, and Specific Gravity
  • Quiz 4
  • Urine Electrolytes, Osmolality, FENa, FEUrea
  • Quiz 5
  • Transtubular Potassium Gradient (TTKG)
  • Quiz 6
  • Urinary Anion Gap
  • Quiz 7
  • Clinical Correlation: Urine Findings in Common Conditions
  • Quiz 8
  • Gross Assessment - Color, Turbidity, Smell
  • Quiz 9
  • Urine Crystals - Cystine, Uric Acid, Triple Phosphate, Ca Oxalate
  • Quiz 10
  • Casts - RBC, Granular, Hyaline, Fat, WBC. Nephrotic and Nephritic Syndrome
  • Quiz 11
  • Waxy Casts, WBCs, Gram Stained Bacteria, RBCs, Epithelial & Squamous Cells
  • Quiz 12
  • Case Study 1
  • Case Study 2
Post-Course Quiz (Required for CME/CE Credits)
  • Instructions
  • Post-Course Quiz
Optional: Receiving CE Credits for This Course
  • Congratulations! Your CE Certificate
Congratulations! CME Certificate
  • Your CME Certificate

Course Overview

Urinalysis Explained Clearly is a course designed to clarify, review, and augment the training and understanding of primary care clinicians in the interpretation of urinalysis results. The modules included in this course take a departure from the traditional slide presentation style lecture. Instead, the course is comprised of a series of video lectures aided by real-time instructor-led chalkboard visuals. This method of learning allows for the subject matter to be broken down to the basics and is designed to increase learning and retention. 


Urinalysis is an important diagnostic tool for primary care clinicians; however, many clinicians lack training, understanding, and skill in the interpretation of urinalysis results. This course illustrates the positives and negatives of each urine collection method, breaks down what each result on a urinalysis may indicate, and describes how to perform a gross assessment of urine. This CME course will utilize a combination of videos, quizzes, and systematic discussion of clinical scenarios and practice cases to effectively deliver the course content. 

Course Objectives:

As a result of this educational activity, participants should be better able to:

  • Interpret urinalysis results and successfully determine the patient’s condition and diagnosis in conjunction with their medical history and physical.  
  • Look at the microscopic photograph of the spun urine and make a diagnosis. 
  • Determine which type of acidosis a patient with a non-anion gap metabolic acidosis has based on the urinary anion gap.

Post-Test and Evaluation:

After completing the CME activity, you must successfully complete a post-test and fill out a program evaluation form. You will then be able to view and print your CME certificate.


Roger D. Seheult, MD
Pulmonary, Critical Care, and Sleep Medicine
Beaver Medical Group, Redlands, CA
Associate Clinical Professor
UC Riverside School of Medicine, Riverside, CA
Assistant Professor of Medicine
Loma Linda University School of Medicine
Loma Linda, CA


ACCME AccreditedAMA PRA Category 1 Credits™: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Continuing Education Company, Inc. and MedCram, LLC. Continuing Education Company, Inc. (CEC) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Continuing Education Company, Inc. designates this enduring material for a maximum of 3 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ABIM MOC: Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 3 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

To receive CME credit and/or MOC points, you MUST complete the activity and the evaluation form. For ABIM MOC points, your information will be shared with the ABIM through the ACCME Program and Activity Reporting System (PARS). Please allow 6-8 weeks for your MOC points to appear on your ABIM records.

AAPA: AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 3 hours of Category I credit for completing this activity.

AANPCB: The American Academy of Nurse Practitioners Certification Board (AANPCB) accepts AMA PRA Category 1 Credit™ from organizations accredited by the ACCME.

Release Date: 6/21/2019

Review Date: 6/17/2022

Expiration Date: 6/21/2023 (Date after which this enduring material is no longer certified for credit.)

Medium: Enduring Material, Video/Audio

Faculty/Planning Committee Disclosures

Review Committee:

The following individuals have indicated that he/she (nor spouse/partner) have no relevant financial relationships with a commercial interest that may impact upon this CME activity:

  • Beth Townsend, HMCC – Reviewer (Continuing Education Company)
  • Roger Seheult, MD - Faculty
  • Kyle Allred, PA-C – Planner & Content Developer (MedCram)

Faculty Disclosures:

Roger Seheult, MD (Faculty) discloses that he is a consultant for Janssen Pharmaceuticals, Inc.

Unlabeled Use Declaration:

During their presentation, faculty may discuss unlabeled or investigational use which is not approved for a commercial product. Faculty members are required to disclose this information to the audience when referring to an unlabeled or investigational use.

Statement of Disclosure and Independence:

It is the policy of Continuing Education Company (CEC) to ensure all of its accredited educational activities are designed, implemented, and evaluated in accordance with the Accreditation Council for Continuing Medical Education’s (ACCME) Criteria and Policies. In accordance with ACCME requirements, CEC has Conflict of Interest (COI) and Disclosure Policies that are designed to ensure that accredited educational activities are fair, balanced, independent, evidence-based, and based on scientific rigor.

All individuals who are in position to influence and/or control content of a CEC accredited Continuing Medical Education (CME) activity must disclose any relevant financial interest or other relationships which they or their spouse/partner have with (a) with the manufacturer(s) of any commercial products(s) and/or provider(s) of commercial services discussed in an educational presentation and (b) with any commercial supporters of the activity. (Relevant financial interest or other relationship includes such things as grants or research support, employee, consultant, major stockholder, member of speakers’ bureau, etc.) The intent of this disclosure is to provide activity participants with information to determine whether the speaker’s interests or relationships may influence the presentation with regard to exposition or conclusions. All potential conflicts of interest have been identified and resolved, and are listed above.

The opinions, ideas, recommendations, and perspectives expressed in the syllabus and accompanying presentations at this activity are those of the program authors and presenting faculty only and do not necessarily reflect the opinions, ideas, recommendations or perspectives of their affiliated institutions, Continuing Education Company, advisory boards or consultants.

Computer Requirements

Flash Player 10 or later, and one of the following browsers:

  • Windows: Internet Explorer 6 and later, Microsoft Edge (latest version), Firefox 1.x and later, Google Chrome (latest version), Opera 9.5 and later
  • Mac: Safari 3 and later, Firefox 1.x and later, Google Chrome (latest version)
  • Linux: Firefox 1.x and later

HTML5 via one of the following browsers:

  • Windows: Google Chrome (latest version)
  • Mac: Safari 6.0.5 or later, Google Chrome (latest version)
  • Mobile: Safari in Apple iOS 6 or later

Roger Seheult M.D. is approved by the California Board of Registered Nursing, Provider # CEP16824.  This course is approved for 3 CE contact hours.




    Concise and practical. Thanks for the review.


    Excellent really needs a cognitive aid or recommendation to one



    I enjoyed this overview but I would have liked to see more case studies.









  • Quadruple Board Certified in Internal Medicine, Pulmonary Medicine, Critical Care, and Sleep Medicine.

  • Over 20 years teaching experience as both an exam preparation instructor and an assistant professor of medicine.

  • Experience as a medical director for both a Southern California Physician Assistant Program and a Respiratory Therapy Program.

Click here for full bio

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