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Elevated RBC and WBC in urine. Renal ultrasound done for back pain. Concerned about the c-reactive protein levels

my daughter went for her physical today and had slightly elevated red and white blood cell counts in her urine. She also had a renal ultrasound done because she once in a while complains of back pain . Ultrasound was normal. blood tests came back that her c-reactive protein was 1.4 and her sed rate was 58. now waiting for more results and answers on to what this might mean.
Asked On : Fri, 22 Mar 2013
Answers:  1 Views:  93
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General & Family Physician 's  Response

Lets break down this question in parts as it will be easy for me to help you understand the medical code.

A) "Slight elevated red blood cell and white blood cell in URINE"

1) RED BLOOD CELL- are the cell present in blood which makes it appear red and the function of this cell is to deliver the OXYGEN to body tissue,
2) WHITE BLOOD CELLS- contains multitude of cell which performs defense function in blood against the the microorganisms like bacterias, viruses, parasites

Now normally there should be no red blood cell / white cell in the urine present, not the presence of these cell in the urine leads to several possibilities, as follows
1) Infection, inflammation, or injury to the urinary system.
2) kidney stones,
3) Blood-clotting disorders,
4) Sickle cell anemia,
5) A tumor in any part of urinary track ( kidney, ureter, bladder, urethra)
6) Genetic kidney disorders.

So to rule out possibilities they did the ULTRASOUND ON THE KIDNEY AND all is NORMAL that is VERY GOOD news,

c-reactive protein is kind of substance released during some infection / inflammatory (swelling) kind of situation and the 1.4 is the number we got from lab
now normal range is from " 0-1.0" slightly high is from "1.0-3.0" extremely high is from 3.0-10.0
our number falls in the middle range that indicate little high means probability of infection / inflammation is present.

C) Sedimentation RATE :- The rate at which the blood cell gets stuck/ piled on each other in case if they are suspended under gravity , help in knowing presents of Autoimmune disorders/chronic diseases are present or not.

Men under 50 years old: less than 15 mm/hr
Men over 50 years old: less than 20 mm/hr
Women under 50 years old: less than 20 mm/hr
Women over 50 years old: less than 30 mm/hr

But in our case the rate is certainly high which is 58 mm/hr Giving an indirect conformation of the present of some kind of chronic disease may be infective in nature.

This is all they have so far , But your physician still needs to do some more test in order to come the PERFECT DIAGNOSIS ,

Hope it helps.
Answered: Fri, 22 Mar 2013
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