Question

A clinical laboratory scientist reviewed the following urinalysis report performed by a student technologist before releasing the results. The urine sample is from a 35-year-old male, following a pre-employment exam.
Color           Amber
   Appearance       Hazy
   Specific gravity   1.020
   pH           6.5
   Protein           Neg
   Glucose       Neg
   Ketones       Neg
   Bilirubin       Neg
   Blood           Neg
   Urobilinogen       0.1 EU
   Nitrite           Neg
   Leukocyte esterase   Neg
   WBCs           0–3/HPF
   RBCs           30–40/HPF
   Epithelial cells       Few squamous/HPF
   Casts           Rare hyaline
   Bacteria       Neg

a. Identify any abnormal results.
b. Are any results discrepant?
c. If discrepant results are found, what should be the first course of action?
d. What should be the next course of action?
e. What are five possible explanations for these results?
f. What structures can be confused with RBCs, WBCs, and casts?

Answer 1

a. RBC's in this results is varied.that is 30 to 40 /HPF. Normal eis 0 to 4/HPF.It indicates that patient may have urinary tract infections, injury or trauma to kidney, renal calculi etc.The urine is also cloudy.

b. Yes.few squamous are shown in epithelial cells. This indicate the urine is contaminated.

c. Advice the patient to send the urine again for tests.it helps to confirm the diagnosis.

d. Tell the patient to undergo remaining investigations like USG,KUB etc.