Urinalysis and body fluids a color text and atlas

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?
Urinalysis 233 2. List five possible explanations for these abnormal results. 3. Should Tammy be concerned about these results? 4. What is the most likely explanation for the abnormal results? 5. What is the usual source of granular casts in pathological conditions, e.g.. glomerulonephritis? e gran nonpat 6, What would the physician do to follow up on this athlete is repor
234 Chapter 6 a. How could you differentiate granular casts from pathological condi tions and those formed in nonpathological conditions? 7. b. What clues are in the urinalysis report? RECOMMENDED READINGS Brunzel, Nancy A. (1994). Fundanmentals of Urine and Body Fluid Analysis. Philadelphia: W. B. Saunders. McBride, Landy J. (1998). Textbook of Urinalysis and Body Fluids. Philadelphia: J. B. Lippincott. Ringsrud, Karen Munson & Jorgenson Linne, Jean. (1995). Urinalysis and Body Fluids: A Color Text and Atlas. St. Louis: Mosby. Strasinger, Susan King. (1994). Urinalysis and Body Fluids. Philadelphia: E. A. Davis report she 5-7 Nev d