Question

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?

2. What is your (the technologist) first course of action to investigate the results?

3. What should you (the technologist) do next?

4. What are 3 possible explanations for these results?

5. List 3 structures that can be confused with RBCs.

6. How would you differentiate the confusing structures from RBCs?

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.