Doctor insights on:
How abnormal is 5-10 for WBC in a urine test? I am curious about a small abnormality on my physical:
the results of the urine chem/microscopy say “trace” of leukocyte esterase (reference range: negative) and a “flag” says ab. Following that the WBC is “ab
A : A few white blood cells in the urine of a female patient is very common, especially if the urine sample was not collected in particular manner. If a physician is interested in getting urine from a woman's bladder that has not been contaminated by passing through the vagina, which normally contains bacteria and white blood cells, the sample should be collected by asking the woman to use a antiseptic towelette to wipe the vagina while spreading the inner labia, then to urinate into the toilet for a second, stop urinating, then urinate into the specimen cup. If you didn't collect the urine in this manner, then it's more than likely that the white blood cells are from the vagina, not the bladder as are the bacteria and the leuk esterase. If it is noted that there were squamous epithelial cells in the urine, then it's even more likely, because those cells are found only in the vagina, not the bladder. Back pain is a common symptom, and occasionally it is the sole symptom of a urinary tract infection, but not usually. Most of the time people with utis will have pain on urination or frequency of urination, fevers, or pain on the sides of their back. If you have any of these (fever, urinary pain or frequency, or pain on the sides of your back) or if the middle back pain persists for more than a week, you should see a doctor. But the biggest thing here is, the physician who ordered the urine test should be available and eager to answer your question. ...Read more
Normal blood count with blood smear leukocyte; particles of toxic granulation, atypical cells lenfomo nuclear, one cell view of downey. Male, 58 ?
Typical cell: This is a typical cell type (both the lymphocytes with toxic granulation and the Downey cell, which similar is a lymphocyte with features consistent with activation). These occur in the context of infection or stress when the lymphocytes are receiving "danger" signals. Can't comment conclusively without knowing more about the clinical situation, but not likely something that needs follow up. ...Read more
Hi I received a urinalysis test result with abnormal +2 ketones, +1 blood, 2+ leukocyte esterase, and above high normal 2+ WBC. No bacteria seen. ?
Urinalysis: The ketones may have been because you were fasting when collecting the urine, or perhaps you are diabetic and blood sugar not in good control. The leukocytes were probably from vaginal secretions unless you had a clean assisted midstream catch urine. You do not say if you have any symptoms. Lab values without a clinical context are not very valuable. ...Read more
Possible infection: Assuming this is a urinalysis, it means you have a few white blood cells, which could signify infection or inflammation anywhere in the urinary tract. An actual count of the cells is more helpful, that's in another part of the test. If there are more than say 10, the risk of infection is higher. ...Read more
Minor infection: Leukocytes (white blood cells) in the urine often indicate an infection of the genito-urinary tract. They release an enzyme called leukocyte esterase. If it is present in trace (very small) amounts, it does not need further treatment. If you have symptoms, such as burning on urination or frequent urination, you will need antibiotics. ...Read more
Depends: Leukocyte esterase released by lysed neutrophils and macrophages is a surrogate marker of the presence of white blood cells (WBCs). Leukocyte esterase suggests that there are white blood cells in the urine. Based on symptoms and other urine analysis findings this may suggest a urinary tract infection ...Read more
Usually an infection: Leukocyte esterase released by lysed neutrophils and macrophages is a surrogate marker of the presence of white blood cells (WBCs). Leukocyte esterase suggests that there are white blood cells in the urine. Large leucocyte esterase means plenty of WBC. Based on symptoms and other urine analysis findings this may suggest a urinary tract infection ...Read more
Please clarify: This is an entire system of proteins that vary from person to person. Everybody is born with some of them. Your confusion may result from this important subject -- the hla system -- being explained too quickly to you in a classroom. ...Read more