Top
10
Doctor insights on: Pyelonephritis Urinalysis Wbc Casts

Share
1

1
Rbc and WBC casts in urine. Right flank pain. No fever. Pyelonephritis diagnosis but dr told me he wasn't sure that maybe something more going on. Ideas?

Rbc and WBC casts in urine. Right flank pain. No fever. Pyelonephritis diagnosis but dr told me he wasn't sure that maybe something more going on. Ideas?

This is serious: A nephrologist or pathologist needs to look at the urine to confirm the presence of red cell casts. If they are indeed present, you have glomerulonephritis of some sort. Since you state that you have systemic lupus, this is the obvious first consideration, and the presumptive (and likely) diagnosis is lupus glomerulonephritis. A nephrology referral is in order now. ...Read more

Ua (Definition)

A ua is a urinalysis, or chemical and microscopic analysis of the urine. The standard urinalysis is performed with a dipstick test for ph, blood, protein, sugar, and ketones. In addition, a urinalysis usually includes a microscope examination to identify if the urine contains cells, "casts" (structures that indicate a problem originating in the kidney) or crystals (such as ...Read more


2

2
What is the definition or description of: urinalysis shows WBC casts?

What is the definition or description of: urinalysis shows WBC casts?

Kidney infection: Cast indicate that the problem is of renal orgin and typically seen in pyelonephritis, or glomerular dysfunction. ...Read more

See 1 more doctor answer
4

4
Wbc cast in urinalysis was 5 and the range should be less than 0. What does that mean?28 yr female

Inflam/infection: Wbc casts in urine (clustering/clumping of white blood cells) often suggest some inflammatory process from your kidneys and/or bladder. Simple urinary tract infections can also do that...Check with your doc who ordered it... ...Read more

See 1 more doctor answer
7

7
Pyelonephritis, infected kidneys and urinalysis indicated traces of protein. Are these worrying signs?

Pyelonephritis, infected kidneys and urinalysis indicated traces of protein. Are these worrying signs?

Make sure goes away: Typically with a pyelonephritis some protein is spilled into the urine because the tubules that are infected lose function and are unable to resorb protein spilled into the urine. Make sure the urine protein is gone after you complete your therapy. Obviously make sure that your symptoms of the kidney infection (aka pyelonephritis) goes away. ...Read more

8

8
Have low back more of cramp nagging pain like the ones when starting labor + headache, on and off for a week.Urinalysis normal.Is it pyelonephritis?

Have low back more of cramp nagging pain like the ones when starting labor + headache, on and off for a week.Urinalysis normal.Is it pyelonephritis?

No: Pyelonephritis (kidney infection) would be associated with an abnormal urinalysis (many wbcs) and symptoms of fever, chills, flank pain, and feeling quite sick. Your symptoms and normal urinalysis are not consistent with this. ...Read more

9

9
6 mos old with three day fever of 104, WBC 24000, all else normal. Urinalysis normal but dr still thinks its kidney infection. Possible? If not, what?

6 mos old with three day fever of 104, WBC 24000, all else normal. Urinalysis normal but dr still thinks its kidney infection. Possible? If not, what?

Wind/wound/water: In med school we were taught to look at the lungs/a wound/or the urine for the source of unexplained fever.In a 6mo girl i would consider a uti, less so for a boy but possible. The urine might be clear to initial look, but should show growth of any germ within 24 hrs.Stress can increase the WBC count & some viruses can produce high fevers for days. ...Read more

See 1 more doctor answer
10

10
7 mos old had fever 104, WBC 25000, normal urinalysis but positive urine culture. Is this likely a kidney infection? Did this cause kidney scarring?

7 mos old had fever 104, WBC 25000, normal urinalysis but positive urine culture. Is this likely a kidney infection? Did this cause kidney scarring?

Maybe: The pediatrician seeing this 7 m.O. Baby knows best. Depending on the organism cultured and the manner in which the culture was obtained, this may be pyelonephritis, but could also be systemic infection with bacteria in the blood creating urinary tract infection secondarily. The nature of the organism, duration of the infection and the manner in which it was treated will determine damages. ...Read more

See 1 more doctor answer
Dr. Raj Singh
234 doctors shared insights

Cast (Definition)

Children's bones will usually heal and remodel themselves, if they are kept in the correct position. Immobilization casts are one effective way to do this, while also protecting ...Read more


White Blood Cell (Definition)

Body blood cell that responds to inflamation or infection or ...Read more