Question

232 Chapter 6 URINALYSIS CASE 6-6 Tammy S., a 20-year-old long-distance runner, went to the University Health Center for her physical following the first practice of the season. The results of her urinalysis are shown in Table 6-6 Table 6-6 URINALYSIS Reference Range Tammy S. Macroscópic Color Colorless to amber Clear Amber Clear Appearance Specific gravity pH 1.001-1.035 1.028 5-7 7.0 Neg Neg Neg Neg Trace 5-20 mg/dL (SSA: trace) Protein Neg Neg Glucose Ketones Neg Bilirubin Neg Normal Blood 1+ 4 mg/dL Neg Trace Urobilinogen Neg Neg Nitrite Leukocyte esterase Microscopic 10-20/HPF WBCS 0-5/HPF 30-40/HPF RBCS 0-2/HPP Few squamous/HPF Epithelial cells Few to moderate 10-20 hyaline/tPF Few hyaline Casts 10-15 granular/LPF Neg Neg Bacteria None Crystals QUESTIONS l reve 1. What are the abnormal or discrepant urinalysis results?

Answer 1

1.The abnormalities found in the urinanalysis report are

• The presence of protein in urine is a sign of proteinuria which means infection.In general the protein are larger ,olecjkes and cannot pass via glomerular filtration .If happens is a clear sign of infection or the kidney are injured due to certain disease
• The presence of blood ,RBC are an indicator of bleeding
• The urobilinogen is indicating the problems associated with liver
• Leukocyte esterace ,WBC are indicator of infection
• The presence of hyaline casts may be due to exercise (runner)

2.The possible reason for abnormal results may be due to

• Urinary tract infection
• Liver disease,Hepatitis,Cirrhosis of liver.
• Renal disease
• Cancer or tumour
• Urolithiasis ,nephrolithiasis,glomerulonephritis

3.Tammy should be concerned about the results because it shown the signs of Urinary tract infection.If left untreated may damage the renal function and the system

4.These type of condition is found in the long distance runner,where there are chances of Urinary tract trauma resulting in injury,infection.They are also termed to be runners bladder.Studies predict the prevalence of lower urinary tract hematuria.