Hello doctors, can ultram show up as meth on a drug test?

No: there are no reports of any such false positives with tramadol to my knowledge, or in the literature. I checked several authoritative sites and cannot find any references to this. I found that on drug bulletin boards, many people (all anonymous, ? authority) say that it does show up as methadone. It definitely does not cause false positive for methamphetamine. Meth can mean either.