Coming through the ER complaining of severe abdominal pain (acute abdomen), this 20âyearâold woman was admitted to R/O appendicitis, pancreatitis, pyelonephritis, abdominal abscess, or ruptured viscus. Because she was 36 weeksâ (estimate) IUP, a low Câsection was performed and the child was delivered. Her appendix was found to be ruptured, and it was removed at the same time. Blood cultures were positive for E. coli, sensitive to Cefotan (cefotetan disodium) and to gentamicin, which she was given. The urinalysis, obtained two days postsurgery, was as follows:
glucose negative
bilirubin small
ketones 40 mg/dL
specific gravity 1.025
blood negative
pH 6.5
protein 30 mg/dL
urobilinogen 1.0 EU/dL
nitrite negative
leukocyte esterase trace
color orange
WBCs 5â10/HPF
RBCs rare/HPF
epithelial cells 1+/HPF
bacteria 1+/HPF
bactera 1+
casts 1â5 granular
Icotest negative
C&S was not requested on this urine.
Case Question:
What aspects of the urinalysis do you find significant? Explain.
What would one expect see in her urine microscopic exam?