Urine Test Results Analysis: Understanding Your Lab Report

Question
Hi Samantha,
Can you please review these results and give me an idea of their meaning to you.

Thank you!


URINALYSIS, MICROSCOPIC (CULTURE IF INDICATED)
Component   Your result   Standard range   Units
RBC, URINE HPF   4-10   0 - 3   /HPF
WBC'S, UA/HPF   0-2   0 - 5   /HPF
BACTERIA, URINE HPF   NONE   NEGATIVE    
SQUAMOUS EPITHELIAL CELLS, URINE SED, AUTOMATED COUNT, QUAL   NONE   N/A    
MUCOUS, URINE SEDIMENT, AUTOMATED COUNT, QUAL   PRESENT   NONE    
        

URINALYSIS, AUTOMATED (WITH MICROSCOPY IF INDICATED, NO CULTURE)
Component   Your result   Standard range   Units
GLUCOSE, UA   <30 (NEG)   NEGATIVE   mg/dL
KETONES, UA   <10 (NEG)   NEGATIVE   mg/dL
SPECIFIC GRAVITY, UA   1.014   1.005 - 1.030    
UA HGB   0.10 (1+)   NEGATIVE   mg/dL Hb
PH, UA   6.0   5.0 - 8.0    
PROTEIN, UA   <10 (NEG)   <30 (1+)   mg/dL
NITRITE, UA   NEGATIVE   NEGATIVE    
LEUKOCYTE ESTERASE, UA   NEGATIVE   NEGATIVE    
UROBILINOGEN, UA, QL   <2.0 (NEG)   NEGATIVE   mg/dL
BILIRUBIN, UA   <0.5 (NEG)   NEGATIVE   mg/dL
MICROSCOPIC EXAM, URINE   TO FOLLOW  

Answer
Hi Mark.  From the lab report you listed for me, I believe the only abnormality I see if the 1+ Hgb (blood) in the urine, which is called hematuria.  Numerous diseases of the kidney and urinary tract, as well as trauma, medications, smoking, or strenuous exercise can cause hematuria.  This test cannot determine the severity of disease nor be used to identify where the blood is coming from. For instance, contamination of urine with blood from hemorrhoids cannot be distinguished from a bleed in the urinary tract.  There are 4 "grades" a laboratorian gives to blood in the urine: trace, 1+, 2+, and 3+.  So your result of 1+ isn't the worst it could be.  Check with your doctor.  He/she may want to repeat the test and/or check for causes of this hematuria.

Samantha