Cases

Question 1

Occult blood + elevated RBCs = ?

Answer 1

Hematuria

Question 2

Occult blood + normal amounts of RBCs = ?

Answer 2

Myoglobinuria or Hemoglobinuria

Question 3

Normal colored urine + occult blood = ?

Answer 3

micromyoglobinuria, microhematuria, microhemoglobinuria

Question 4

yellow color, hazy, positive occult blood, neg nitrites

Answer 4

Microhematuria

Question 5

pink color, hazy, positive occult blood, neg nitrites, 5 RBC, 3 WBC

Answer 5

Hematuria

Question 6

yellow, slightly hazy, pH 5, 0.7 urobilinogen, mod occult blood, neg nitrites, 1.020 SpG, 15 WBC, 15 RBC, 10 epithelial cells, Occasional bacteria.. What is the most likely Dx

Answer 6

Lower UTI, Microhematuria

Question 7

27 year old male, low back, flank pain, and reports “frothy urine”. What does this patient need based on history and clinical presentation?

Answer 7

UA

Question 8

pink, hazy, pH 5, +3 protein, large amounts occult blood, 1.028 spG, 10 WBC, 100 RBC, 3 granular casts. What is the most correct response?

Answer 8

Hematuria/proteinuria from undetermined renal origin

Question 9

burning on urination and blood in the urine and low back pain Light yellow, clear, moderate occult blood, neg protein, neg nitrites, 1.010 spG, 50 WBC, 8 RBC, 2 epithelial cells, +2 bacteria. What is the most likely Dx

Answer 9

Cystitis or urethritis (burning) or Lower UTI

Question 10

yellow, slightly hazy, pH 6, neg protein, 0.8 UROBILINOGEN*, 1.025 spG, neg nitrites, 2 WBC, 1 RBC, frequent epithelial cells, +2 bacteria.. What is the most likely Dx

Answer 10

Contamination (most likely lower UTI)

Question 11

A 9 year old female UA results are as follows: yellow colored, hazy, negative proteins, pH of 8.2, positive nitrites, positive leucocyte esterase, SpG of 1.020, 30- 40 WBC’s, 3 RBC, a few epithelial cells, +4 bacteria.
Based on these UA results what is the most likely Dx

Answer 11

Cystitis (lower UTI)

Question 12

40 year old female complains of low back pain. Her UA reveals the following: dark yellow color, hazy, 6.0 pH, negative nitrites,+2 BILIRUBIN, 2.3 UROBILINOGEN, negative occult blood, neg nitrites, 3 RBC, 3 WBC, slight amounts of mucous, a few epithelial cells, 1 granular cast. Based on these findings which of the following is the most likely diagnosis?

Answer 12

Liver disease/liverbiliary tract disease

Dark yellow suggests normal or maybe liver disease

Question 13

29 year old patient has the following UA results: dark yellow, cloudy, 8.3pH, +2 proteins, small amounts of occult blood, +nitrites, 1.024 SpG, 6 RBC’s, 50 WBC’s, moderate amounts of epithelial cells, +3 bacteria, 1 granular cast, 2 WBC casts*. What is the most likely Dx

Answer 13

Polynephritis
If said RBC casts it would be GMN
No casts, upper UTI

Question 14

smoky color, cloudy, 6.3pH. +2protein, moderate amount of occult blood, neg nitrite, 1.008spG, 60 RBC, 5WBC,
small amount of epthelial cells, neg bacteria, 1 granular cell, 3RBC casts*

Answer 14

Glomerulonephritis

Question 15

your patient has elevated bilirubin levels in the blood and urine, absence of urobilinogen within, the urine

Answer 15

Gallstone with complete obstruction

Question 16

80y male

UA : dark yellow , hazy, pH8.2, +leucocyte esterase, +nitrites, 1.020SpG, TNTC WBC, 1RBC, +3bacteria

Answer 16

Urethritis

Question 17

UA : dark yellow, hazy, 8.2pH, +1 protein*, + occult blood, + nitrite, 4RBC, 15WBC, +2 bacteria,

Answer 17

Upper UTI

Question 18

UA : Dark yellow, slightly hazy, 7.2pH, neg protein, 0.6 urobilinogen, neg occult blood, neg nitrite, 3RBC, 3WBC, +2 bacteria, large
amount of epithelial cells, +mucous

Answer 18

Contamination (lower UTI) because no elevated WBC