Body Fluids case studies

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1
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A 5-mL urine specimen is submitted for routine urinalysis and is analyzed immediately.
The SG of the sample is 1.020 and the pH is 6.5.
The dry reagent strip blood test is a positive, and the microscopic exam shows numerous RBCs and WBCs.
The leukocyte esterase reaction is positive and the microscopic examination shows bacteria and WBC casts.
What is the most likely cause of these results?
Urinary tract infection
2
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A 5-mL urine specimen is submitted for routine urinalysis and is analyzed immediately.
The SG of the sample is 1.025 and the pH is 5.0.
The dry reagent strip blood test is a positive, and the microscopic exam shows many intact RBCs.
The leukocyte esterase reaction is negative and the microscopic examination shows no bacteria or WBCs.
What is the most likely cause of these results?
Hematuria due to kidney stones (nephrolithiasis)
3
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A 5-mL urine specimen is submitted for routine urinalysis and is analyzed immediately.
The SG of the sample is 1.010 and the pH is 7.0.
The dry reagent strip blood test is a negative, and the microscopic exam shows few squamous epithelial cells.
The leukocyte esterase reaction is trace positive and the microscopic examination shows rare WBCs and no bacteria.
What is the most likely cause of these results?
Contamination (likely vaginal or external contamination)
4
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A 5-mL urine specimen is submitted for routine urinalysis and is analyzed immediately.
The SG of the sample is 1.015 and the pH is 6.0.
The dry reagent strip blood test is a strong positive, and the microscopic exam shows no RBCs.
The leukocyte esterase reaction is negative and the microscopic examination shows no WBCs or bacteria.
What is the most likely cause of these results?

Hemoglobinuria due to intravascular hemolysis

5
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Hemoglobinuria due to intravascular hemolysis A 5-mL urine specimen is submitted for routine urinalysis and is analyzed immediately. The SG of the sample is 1.018 and the pH is 6.2. The dry reagent strip blood test is a positive, and the microscopic exam shows no RBCs. The leukocyte esterase reaction is negative and the microscopic examination shows no WBCs. What is the most likely cause of these results?

Myoglobinuria due to muscle injury.

6
New cards
A 5-mL urine specimen is submitted for routine urinalysis and is analyzed immediately.
The SG of the sample is 1.030 and the pH is 7.5.
The dry reagent strip blood test is a positive, and the microscopic exam shows RBCs, WBCs, and bacteria.
The leukocyte esterase reaction is positive and the microscopic examination shows WBC casts.
What is the most likely cause of these results?

Pyelonephritis