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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What does this urinalysis report indicate? Should I be concerned?

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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 11123 Questions

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Posted on Sat, 29 Dec 2018 in Urinary and Bladder Problems
Question: What does this urinalysis report indicate? Should I be concerned? XXXXXXX cloudy
ph - 5.0
specific gravity - 1.020
glucose - negative
ketone - negative
hemoglobin - negative
protein - negative
bilirubin - negative
urobilinogen - >= 4
nitrite - negative
leukocyte esterase - 2+
WBC - 3-10
RBC - 3-10
Hyaline cast - negative
squamous epi cells - >50
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Answered by Dr. Michelle Gibson James 50 minutes later
Brief Answer:
no need for concern, indicates infection may be present, easily treated

Detailed Answer:
Hi, thanks for using healthcare magic

There are no exact values for some of the results that of urine analysis.

For example, a normal pH range is 4.5 to 8, this means that at 5, your value is fine

Specific gravity can range from 1.005 to 1.025- again your value of 1.020 is fine

No glucose (sugar) or ketones or hemoglobin (found in blood) or protein or bilirubin or nitrites were detected- also good.
Urobilinogen is a form of bile that is normally found in the urine, the present level detected is okay

Leukocyte esterase is a type of chemical that is made by white blood cells, it is used as an indicator of infection. The 2+ leukocyte and the presence of a small amount of white cells may indicate that there is a slight infection present. It would have to be slight because in most urinary tract infections nitrites are also positive.
The leukocyte esterase and white blood cell 3 to 10 would be the reason for the antibiotics

In women leukocytes and white blood cells can also occur with yeast or other vaginal tract infections, do not necessary indicate an urinary tract infection.

Squamous epithelial cells usually indicate that the urine was contaminated when taken or tested.
It would not indicate the presence of any disease/illness

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Michelle Gibson James 32 hours later
Thank you Dr. Michelle!
doctor
Answered by Dr. Michelle Gibson James 7 hours later
Brief Answer:
no problem

Detailed Answer:
Wishing you all the best, if there are any other queries, can let me know
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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