Question

3.   Urine sample from a female college student whose roommates brought her to the ER after she becomes disoriented:

pH—5
protein—neg
glucose—2%
ketone—large
bilirubin—neg
blood—mod
urobilinogen—0.2 EU
nitrite—neg
leukocyte esterase—neg
SG—1.019
a.   Identify abnormal results.
b.   What follow-up or confirmatory tests should be done?

Answer 1

Elevated levels of glucose in urine is a sign of renal glycosuria.

High ketone level in urine may indicate diabetic ketoacidosis.

Having blood in urine can be sign that something is wrong with kidney or another part of urinary tract infection.

Specific gravity of urine above 1.010 can indicate mild dehydration.

Acetest is confirmatory test for positive ketone.

From above urine analysis, the female student must check her blood for sugar detection. Because increased levels of glucose and ketone in urine is a sign of diabetes.