CASE STU D Y A complete urinalysis was performed on a fresh, random specimen. Th

Question

CASE STU D Y A complete urinalysis was performed on a fresh, random specimen. The results are given below Physical Test clarity color SG Patient Results slightly turbid yellow 1.015 Microscopic Exam WBC RBC epith cells Patient Results 6-8/HPF 10-15/HPF 0-2/HPF rare/HPF neg neg none seen Chemical Test PH protein glucose ketone bilirubin blood urobilinogen nitrite leuk. esterase Patient Results bacteria 6.4 1+ neg neg neg neg neg neg yeasts crystals 1. Which chemical and microscopic results show a discrepancy? a. + leukocyte esterase and 6-8 white blood cells/HPF b. negative blood and 10-15 red blood cells/HPF c. 1+ protein and 6-8 white blood cells/HPF d. neg nitrite and 6-8 white blood cells/HPF 2. What follow-up testis) would be appropriate to resolve the discrepancy?

Explanation / Answer

Ans is option a. + leukocytes esterase and 6-8 wbc/ HPF. because patient should have more wbc. It indicates possible infection.

Explanation: b is not an optiom because negative blood doesnot mean that there will be no RBC.

Other possibilities like albumin +1 with 6-8 wbc/hpf can present in patient with kidney disease and with possible infection.

Ans 2: the doctor can order urine culture test and sensitivity test to resolve the discrepancy and this will give an adequate information about infection in urinary tract.

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