Routine Microscopic Urinalysis

Question 1

Normal amount of RBC/HPF?

Answer 1

3-5 RBC/HPF

Question 2

What does >5 RBC/HPF indicate?

Answer 2

Hematuria

Question 3

What is needed to be found in the urine for it to most likely be a problem in the renal?

Answer 3

> 5 RBC and RBC casts

Question 4

What does increase in RBC but no RBC casts indicate?

Answer 4

That the source of the hematuria is somewhere in the urinary tract other than the kidney

Question 5

What is a normal amount of WBC in urine microscopic exam?

Answer 5

6-10 WBC/HPF

Question 6

What does pyuria indicate?

Answer 6

Inflammatory process in or adjacent to the urinary tract

Question 7

When should you do a urine c&S?

Answer 7

When large numbers of leukocytes are seen in clumps

Question 8

What does clumps of leukocytes usually indicate?

Answer 8

Acute infection of the urinary tract

Question 9

What typically indicates pyelonephritis?

Answer 9

Pyuria with clumps of leukocytes and minimal proteinuria and leukocyte casts

Question 10

What does it indicate when there’s pyuria— clumps of leukocytes and minimal protein with NO leukocyte casts?

Answer 10

Cause is a lower urinary tract infection