Urinalysis Question!!??

Hi,

I had a urinalysis recently and there were a few things that came back outside the "normal range". What do these mean???

Protein neg

Glocose neg

ketones neg

bilirubin neg

Occult blood TRACE

esterase neg

urine urobilinogen .2

WBC - none

RBC - 0-4

Squam Epith - 1+

Mucus - none

Bacteria - rare

Amorphouse - occasional

and then at the end it says...

10,000-49,000 cfu/ml mixed gram positive growth, probably contaminants

Thanks!!!

8 Answers

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  • 1 decade ago
    Favorite Answer

    I think you should ask a doctor instead of us idiots who don't know anything! Good luck!

  • Anonymous
    4 years ago

    1

    Source(s): Kidney Health Solutions http://teres.info/KidneyHealth
  • Carol
    Lv 4
    5 years ago

    First of all, this is an odd question. I can surely understand peoples response to it. If you're not doing drugs or don't want to join, why ask?? That said, yes, they can test you during BCT. In fact, my hubby told me someone tested hot not that long ago and he's a Drill Sergeant. They test on a regular basis without warning at all stages in the Army. When he was in a regular unit, my hubby was in charge of urinalysis. Just because the Army needs soldiers, doesn't mean that they need bad soldiers, so don't count on testing hot and just a hand slap.

  • 1 decade ago

    The last portion means that the specimen was not an MSSU. In other words it was not a completely sterile sample. It was contaminated by other bacteria that would be rare to find in one that was collected correctly.

    Trace of blood in urine with Sq epithelium would mean some infection recently where both blood and tissue breakdown was detected Urobilinogen is bile in urine in excess it may have been as a result of the infection or a blow to the liver from some injury

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  • 1 decade ago

    The following is an excellent way to clear the toxins and heal your kidneys.

    Get unsweetened Cranberry Concentrate at the health food store.

    Mix 8 ounces with 1 gallon of water. Drink 6 to 8 ounces before every meal and between meals.

    It will flush toxins out of your system like crazy. It eliminates bloat and clears a urinary tract infection very nicely.

  • 1 decade ago

    You really should talk to your doctor about what all of this means. I believe occult blood means blood that is hidden in the urine. Urine is supposed to be fairly sterile, so I think it's good that you don't have much bacteria in there. all of the other things are organic compounds (mostly) that....well just talk to your doctor.

  • Anonymous
    1 decade ago

    DOES NOT SOUND SERIOUS BUT THE ANSWER IS: GO TO DOCTOR AND HAVE THE LAB EXAMINE THESE TESTS AND GIVE YOU PROPER ANSWER! YOU WILL NOT GET ONE ON THIS INTERNET!

    Source(s): MYSELF
  • A urinalysis can point you in the direction of many different diagnoses. The approach today will focus on normal and abnormal lab interpretations of a urinalysis.

    Specific gravity: the density of the urine. This is an indication of the relative proportions of dissolved solid components to the total volume of the specimen and reflects the relative degree of concentration or dilution of the specimen. A normal specific gravity is between 1.003-1.025. This is a direct reflection of the concentration ability of the kidneys and fluid status.

    PH: a demonstration of how the kidneys regulate excretion of nonvolatile acids produced by normal metabolic processes. The kidneys maintain a normal acid-base balance by reabsorbing a variable amount of sodium ions by the tubules and tubular secretion of hydrogen and ammonium ion exchange. The acidity of urine is primarily due to acid phosphates with a minor contribution from organic acids, such as lactic acid, pyruvic acid and citric acid. These are excreted in urine as potassium, sodium, calcium, and ammonium salts. A normal pH is 7. A pH < 7 indicates an acid urine and > 7 indicates an alkaline urine. Normal kidneys can produce widely varying pH levels. An acid urine with a pH < 6 can be seen in patients on a high protein diet, in acidosis, uncontrolled diabetes mellitus, and renal tubular acidosis. An alkaline urine may be found either with urinary tract infections or possible bacterial contamination of an old specimen with urea-splitting organisms.

    Protein: protein should not be found in the urine. When the presence of protein in the urine is > 2 +, it may be an indication of glomerular disease and may develop into a protein losing nephropathy. Minimal proteinuria, which is excretion of < 0.5 grams of protein per day is associated with glomerulonephritis, polycystic disease of the kidneys, renal tubular disorders, the healing phase of acute glomerular nephritis, latent or inactive stages of glomerulonephritis, and various disorders of the lower urinary tract. Moderate proteinuria, which is a protein level of 0.5 grams to 3-4 grams per day may be found in the vast majority of renal diseases, such as mild diabetic nephropathy, and chronic glomerulonephritis. Marked proteinuria, which is a protein > 3-4 grams per day is significant for nephrotic syndrome, nephrosclerosis, amyloidal disease, systemic lupus erythematosus, renal vein thrombosis and congestive heart failure.

    Glucose: the threshold of blood glucose is 250 mg percent. When glucose exceeds this number, sugar overflows into the urine. Glucose should not be found in the urine normally.

    Acetoacetate: may be positive whenever there is inadequate carbohydrates in the body, such as diabetes mellitus.

    Bilirubin: the presence may suggest hepatocellular disease versus the presence of hepatobiliary obstruction, early signs of jaundice, or biliary stasis.

    Urobilinogen: small amounts may be normal in the urine. An increase may be indicative of liver disease, congestive heart failure, or hemolytic anemia.

    Nitrites: usually sensitive for bacteria. Bacteria reduce nitrates to nitrite by using a reductase enzyme.

    Leukocyte esterase: released from white blood cells secondary to bacterial invasion which causes the release of esterase.

    Casts: may be an indication of tubular damage. Granular casts represent plasma protein aggregates that pass into the tubules from damage glomeruli or cellular remnants from cellular casts. Fatty casts are fatty material from lipid laden renal tubular cells incorporated into the cast matrix. These are seen with heavy proteinuria, such as nephrotic syndrome. Waxy casts are localized and seen in nephron obstruction and oliguria. They may be found in tubular inflammation, degeneration, in patients with chronic renal failure. Hyaline casts may occur secondary to glomerular capillary damage which prevents leakage of proteins through glomeruli.

    Color: affected by concentration of urine. Tea colored urine is due to blood in the urine. Bright yellow urine may be secondary to vitamin intake.

    Turbidity: normal urine is clear. Amorphous phosphates or amorphous urates may cause urine to appear more cloudy or hazy.

    Red blood cells: normal should be 0-2. > 2 red blood cells may indicate trauma, menstruation, infection, nephropathy, or glomerular damage.

    White blood cells: > 5-10 white blood cells may be an indication of inflammation or infection.

    I hope this information helps.

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