\documentclass[10pt,a4paper]{article}

% Packages
\usepackage{fancyhdr}           % For header and footer
\usepackage{multicol}           % Allows multicols in tables
\usepackage{tabularx}           % Intelligent column widths
\usepackage{tabulary}           % Used in header and footer
\usepackage{hhline}             % Border under tables
\usepackage{graphicx}           % For images
\usepackage{xcolor}             % For hex colours
%\usepackage[utf8x]{inputenc}    % For unicode character support
\usepackage[T1]{fontenc}        % Without this we get weird character replacements
\usepackage{colortbl}           % For coloured tables
\usepackage{setspace}           % For line height
\usepackage{lastpage}           % Needed for total page number
\usepackage{seqsplit}           % Splits long words.
%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
\usepackage[normalem]{ulem}     % For underlining links
% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
\usepackage{amsmath}            % Symbols
\usepackage{MnSymbol}           % Symbols
\usepackage{wasysym}            % Symbols
%\usepackage[english,german,french,spanish,italian]{babel}              % Languages

% Document Info
\author{hjsdhaj}
\pdfinfo{
  /Title (urinalysis.pdf)
  /Creator (Cheatography)
  /Author (hjsdhaj)
  /Subject (Urinalysis Cheat Sheet)
}

% Lengths and widths
\addtolength{\textwidth}{6cm}
\addtolength{\textheight}{-1cm}
\addtolength{\hoffset}{-3cm}
\addtolength{\voffset}{-2cm}
\setlength{\tabcolsep}{0.2cm} % Space between columns
\setlength{\headsep}{-12pt} % Reduce space between header and content
\setlength{\headheight}{85pt} % If less, LaTeX automatically increases it
\renewcommand{\footrulewidth}{0pt} % Remove footer line
\renewcommand{\headrulewidth}{0pt} % Remove header line
\renewcommand{\seqinsert}{\ifmmode\allowbreak\else\-\fi} % Hyphens in seqsplit
% This two commands together give roughly
% the right line height in the tables
\renewcommand{\arraystretch}{1.3}
\onehalfspacing

% Commands
\newcommand{\SetRowColor}[1]{\noalign{\gdef\RowColorName{#1}}\rowcolor{\RowColorName}} % Shortcut for row colour
\newcommand{\mymulticolumn}[3]{\multicolumn{#1}{>{\columncolor{\RowColorName}}#2}{#3}} % For coloured multi-cols
\newcolumntype{x}[1]{>{\raggedright}p{#1}} % New column types for ragged-right paragraph columns
\newcommand{\tn}{\tabularnewline} % Required as custom column type in use

% Font and Colours
\definecolor{HeadBackground}{HTML}{333333}
\definecolor{FootBackground}{HTML}{666666}
\definecolor{TextColor}{HTML}{333333}
\definecolor{DarkBackground}{HTML}{C9B714}
\definecolor{LightBackground}{HTML}{FBFAF0}
\renewcommand{\familydefault}{\sfdefault}
\color{TextColor}

% Header and Footer
\pagestyle{fancy}
\fancyhead{} % Set header to blank
\fancyfoot{} % Set footer to blank
\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
    \SetRowColor{DarkBackground}
    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
    }
\end{tabulary}
\columnbreak
\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Urinalysis Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{hjsdhaj} via \textcolor{DarkBackground}{\uline{cheatography.com/201639/cs/42999/}}}
\end{tabulary}
\end{multicols}}

\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
  \SetRowColor{FootBackground}
  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}hjsdhaj \\
  \uline{cheatography.com/hjsdhaj} \\
  \end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 11th April, 2024.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}}  \\
  \SetRowColor{white}
  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
\end{tabulary}
\end{multicols}}




\begin{document}
\raggedright
\raggedcolumns

% Set font size to small. Switch to any value
% from this page to resize cheat sheet text:
% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.


\begin{tabularx}{17.67cm}{p{1.8997 cm} x{15.3703 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{17.67cm}}{\bf\textcolor{white}{Introduction:}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{W}} & Wash Hands \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
{\bf{I}} & Introduce Yourself + Patient's Identity \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
{\bf{P}} & Permission \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
{\bf{P}} & Patient Position + Pain \tn 
% Row Count 8 (+ 2)
% Row 4
\SetRowColor{LightBackground}
{\bf{E}} & Explaination \tn 
% Row Count 10 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{x{8.635 cm} x{8.635 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{17.67cm}}{\bf\textcolor{white}{Instructions:}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{17.67cm}}{Put on {\bf{gloves and place tissue paper on desk}} \{\{width=50\}\}} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{17.67cm}}{Identify urine sample and check {\bf{patient identity}} matches} \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
{\bf{Inspects urine}} and comments on {\bf{colour}} & {\emph{Comment on obvious blood}} \tn 
% Row Count 7 (+ 3)
% Row 3
\SetRowColor{white}
Examine for {\bf{cloudiness/sediment}} & {\bf{{\emph{Ensure to mention this}}}} \tn 
% Row Count 9 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{17.67cm}}{Check {\bf{expiry date}} on dipsticks} \tn 
% Row Count 10 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{17.67cm}}{Take out dipstick and {\bf{immediately close container}}} \tn 
% Row Count 12 (+ 2)
% Row 6
\SetRowColor{LightBackground}
Immerse {\bf{all pads}} of dipsticks in urine & {\emph{Do not spill urine}} \tn 
% Row Count 15 (+ 3)
% Row 7
\SetRowColor{white}
\mymulticolumn{2}{x{17.67cm}}{Remove dipstick and start timer} \tn 
% Row Count 16 (+ 1)
% Row 8
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{17.67cm}}{Place dipstick {\bf{{\emph{horizontally}}}} on tissue paper} \tn 
% Row Count 17 (+ 1)
% Row 9
\SetRowColor{white}
\mymulticolumn{2}{x{17.67cm}}{Compare pads to the container at the correct times {\bf{without touching against the container}}} \tn 
% Row Count 19 (+ 2)
% Row 10
\SetRowColor{LightBackground}
Dispose of waste appropriately in medical waste bin & Wrap urinalysis stick in tissue, fold into glove, fold both into second glove \tn 
% Row Count 23 (+ 4)
% Row 11
\SetRowColor{white}
\mymulticolumn{2}{x{17.67cm}}{{\bf{Wash hands}}} \tn 
% Row Count 24 (+ 1)
% Row 12
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{17.67cm}}{Report abnormalities present in urine, link to appropriate clinical case, and answer any relevant questions} \tn 
% Row Count 27 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{.}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{} \tn 
% Row Count 0 (+ 0)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Clinical Findings:}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{• If blood glucose is normal but urine glucose is high ⇒ Glucose is not being reabsorbed ⇒ Problem with proximal tubule ⇒ will also cause a high phosphatemia \newline % Row Count 4 (+ 4)
• Conjugated bilirubin in urine ⇒ liver disease or common bile duct is obstructed ⇒ No urobilinogen  \newline % Row Count 7 (+ 3)
 • Unconjugated bilirubin isn't water soluble, can't be found in the urine  \newline % Row Count 9 (+ 2)
 • Leukocytes ⇒ Can be caused by a kidney infection/UTI \newline % Row Count 11 (+ 2)
 • Nitrite ⇒ Indicative of gram negative kidney infection \newline % Row Count 13 (+ 2)
 • Protein ⇒ Should never be in urine ⇒ Glomerular damage ⇒ Should always be checked in HTN and DM patients \newline % Row Count 16 (+ 3)
 • pH abnormality ⇒ Diabetic Ketoacidosis \newline % Row Count 17 (+ 1)
 • Blood: \newline % Row Count 18 (+ 1)
      ➤ Macroscopic ⇒ Red colour in urine \newline % Row Count 19 (+ 1)
      ➤Microscopic ⇒ Not visible to the naked eye \newline % Row Count 21 (+ 2)
      ➤ If blood is present in urine ⇒ test for pyruvate, test for myoglobin/haemoglobin \newline % Row Count 23 (+ 2)
             ▷ Myoglobin = muscle breakdown (Rhabdomyolysis), i.e. after heavy exercise \newline % Row Count 25 (+ 2)
 • Specific Gravity ⇒ Reflects hydration, will be elevated if anything is present in urine, i.e. glucose, etc. \newline % Row Count 28 (+ 3)
 • Ketones ⇒ Found in anorexics, starvation, diabetes, etc. ⇒ breakdown of fat \newline % Row Count 30 (+ 2)
} \tn 
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Clinical Findings: (cont)}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{      ➤ Ketones can cross the blood brain barrier in pregnant women ⇒ Can hurt the foetus% Row Count 2 (+ 2)
} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{Children present with Kussmaul's breathing, metabolic acidosis ⇒ Respiratory alkalosis, there is a spike in presentations in 20 year olds \newline  \newline What would be the next test be after detecting a high glucose in urine?  \newline  ➤ A blood glucose test \newline  \newline {\bf{{\emph{Diabetics and patients with Hypertension need urine analysis often}}}}}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Clinical Findings:}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{• If blood glucose is normal but urine glucose is high ⇒ Glucose is not being reabsorbed ⇒ Problem with proximal tubule ⇒ will also cause a high phosphatemia \newline % Row Count 4 (+ 4)
• Conjugated bilirubin in urine ⇒ liver disease or common bile duct is obstructed ⇒ No urobilinogen  \newline % Row Count 7 (+ 3)
 • Unconjugated bilirubin isn't water soluble, can't be found in the urine  \newline % Row Count 9 (+ 2)
 • Leukocytes ⇒ Can be caused by a kidney infection/UTI \newline % Row Count 11 (+ 2)
 • Nitrite ⇒ Indicative of gram negative kidney infection \newline % Row Count 13 (+ 2)
 • Protein ⇒ Should never be in urine ⇒ Glomerular damage ⇒ Should always be checked in HTN and DM patients \newline % Row Count 16 (+ 3)
 • pH abnormality ⇒ Diabetic Ketoacidosis \newline % Row Count 17 (+ 1)
 • Blood: \newline % Row Count 18 (+ 1)
      ➤ Macroscopic ⇒ Red colour in urine \newline % Row Count 19 (+ 1)
      ➤Microscopic ⇒ Not visible to the naked eye \newline % Row Count 21 (+ 2)
      ➤ If blood is present in urine ⇒ test for pyruvate, test for myoglobin/haemoglobin \newline % Row Count 23 (+ 2)
             ▷ Myoglobin = muscle breakdown (Rhabdomyolysis), i.e. after heavy exercise \newline % Row Count 25 (+ 2)
 • Specific Gravity ⇒ Reflects hydration, will be elevated if anything is present in urine, i.e. glucose, etc. \newline % Row Count 28 (+ 3)
 • Ketones ⇒ Found in anorexics, starvation, diabetes, etc. ⇒ breakdown of fat \newline % Row Count 30 (+ 2)
} \tn 
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Clinical Findings: (cont)}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{      ➤ Ketones can cross the blood brain barrier in pregnant women ⇒ Can hurt the foetus% Row Count 2 (+ 2)
} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{Children present with Kussmaul's breathing, metabolic acidosis ⇒ Respiratory alkalosis, there is a spike in presentations in 20 year olds \newline  \newline What would be the next test be after detecting a high glucose in urine?  \newline  ➤ A blood glucose test \newline  \newline {\bf{{\emph{Diabetics and patients with Hypertension need urine analysis often}}}}}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}



\end{document}