Question

Urinalysis Case #2 Review the results below. Table 2: Urinalysis Patient Reference Range Macroscopic Color Yellow...

Urinalysis Case #2

Review the results below.

Table 2: Urinalysis

Patient

Reference Range

Macroscopic

Color

Yellow

Colorless to amber

Appearance

Slightly cloudy

Clear

Specific gravity

1.015

1.001-1.035

pH

7.0

5.0-7.0

Protein

Neg

Neg

Glucose

Neg

Neg

Ketones

Neg

Neg

Bilirubin

Neg

Neg

Blood

Neg

Neg

Urobilinogen

Normal

Normal

Nitrite

Neg

Neg

Leukocyte esterase

Neg

Neg

Microscopic

WBCs

0-1/HPF

0-5/HPF

RBCs

23-30/HPF

0-2/HPF

Epithelial cells

Rare squamous/HPF

Few to moderate

Casts

Neg

Few hyaline

Bacteria

Neg

None

Questions

  1. What urinalysis are abnormal or discrepant?
  1. What is your (the technologist) first course of action to investigate the results?
  1. What should you (the technologist) do next?
  1. What are 3 possible explanations for these results?
  1. List 3 structures that can be confused with RBCs.
  1. How would you differentiate the confusing structures from RBCs?

Homework Answers

Answer #1

Answer: The results shows various abnormal ranges as

  • Appearance is cloudy
  • Abnormalities in the WBC count
  • Abnormal range of RBC.
  • The color is yellow.

These abnormalities indicate the kind of infection or the presence of kidney stones. The increased pus cells is the indication of the infection.

The technologist should intervene the specific activities of the patient by interviewing the patient. All the reports should be documented. And further referred to the physician.

These results could be the outcome of:

  • Presence of infection
  • Kidney stone
  • Electrolyte imbalance or dehydration.
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