Top
20
Doctor insights on: Sample Soap Note For Lupus

Share
2

2
In a male what would cause positive UA dipstick for leukocytes on multiple tests; however, 0 seen under micro? Clean catch in all cases; SPG of 1.015

In a male what would cause positive UA dipstick for leukocytes on multiple tests; however, 0 seen under micro?  Clean catch in all cases; SPG of 1.015

See below: Causes of a "false positive" leukocyte esterace on urine dipstick testing include: •contamination from epithelial cells (common in females and occasionally in uncircumcised males); •lysis of granulocytes due to very dilute urine or high alkaline pH**; •certain drugs or highly colored urine from food dyes; •Trichomonas infection ...Read more

See 1 more doctor answer
5

5
Follow up to previous. Saw a derm. Liver tests fine, no hep. Autoimmune reason. Is hydroxychloroquine a reasonable solution. Dr prescribed ?

Follow up to previous. Saw a derm. Liver  tests fine, no hep. Autoimmune reason. Is hydroxychloroquine a reasonable solution. Dr prescribed ?

Ask your doctor: Hydroxychloroquine can be a reasonable solution for certain disease. Since it can have potentially serious side effects, the risk/benefit factor should be considered. You need to have a better communication channel with your doctor. ...Read more

6

6
For a urologist - how long is a urine sample valid for WBC & RBC dipstick and micro exam when refrigerated. No preservatives used, just refrigerated. ?

For a urologist - how long is a urine sample valid for WBC & RBC dipstick and micro exam when refrigerated. No preservatives used, just refrigerated. ?

A few hours: Generally, 24 to 72 hours. the manufacturer of the containers or the lab you use may be a source of information on how long to preserve the specimen reliably ...Read more

See 1 more doctor answer
7

7
Is urinalysis with reflect to microscopic test a clean catch?

Is urinalysis with reflect to microscopic test a clean catch?

Clean catch: Clean catch in the setting of urinalysis refers to "catching" the urine mid-stream, or stopping midway, collecting a sample, then finishing the urination. This helps reduce the skin contamination when looking for a bladder infections. ...Read more

8

8
Diagnosis-Chronic Prostatitis, however semen culture+urine sample shows no pathogens. Should I worry about non-cultarable bacteria? STI screen Negativ

Diagnosis-Chronic Prostatitis, however semen culture+urine sample shows no pathogens. Should I worry about non-cultarable bacteria? STI screen Negativ

No: If common bacteria and STDs have been ruled out then your chronic prostatitis is a matter of irritation that is common in young sexually active men and things should settle down later on. No need to worry too much at this time. ...Read more

9

9
Hi, My UA results listed leukoesterase 1+ , Nitrate positive, and something about klebsiella pneumoniae. Does this indicate the need for "Cipro" ??

Hi, My UA results listed leukoesterase 1+ , Nitrate positive, and something about klebsiella pneumoniae. Does this indicate the need for  "Cipro" ??

Sounds like UTI: Cipro is an antibiotic that is often used empirically for UTIs. It may be indicated if you have no contradindications and the klebsiella is susceptible to it ...Read more

12

12
At home UTI text kit reads 500+++ leu/ul and positive for nitrate , which antibiotic should take care of it besides keeflex i'm allergic to that.

At home UTI text kit reads 500+++ leu/ul and positive for nitrate , which antibiotic should take care of it besides keeflex i'm allergic to that.

Keflex is not a good: You should go see a doctor and ask him/her to give you an antibiotic which is best suited for uti. Keflex is generally not a good antibiotic for uti. Most doctors would use either Bactrim (sulfamethoxazole and trimethoprim) or Ciprofloxacin but you would need a prescription from your family doctor asap. ...Read more

13

13
What does a lab result of IgE quantitative 291.0 indicate? Being treated for poison ivy with prednisone....Any correlation?

What does a lab result of IgE quantitative 291.0 indicate?  Being treated for poison ivy with prednisone....Any correlation?

Allergy: Ige is an antibody that when increased overalt is consistant with an allergy. It does not tell you what you are allergic to and it is not directly cconnected to the poison ivy most likely. ...Read more

See 1 more doctor answer
15

15
Would a Positive ANA Test CBC with a few other clinical criteria confirm DLE without need for Biopsy?

Would a Positive ANA Test CBC with a few other clinical criteria 
confirm DLE without need for Biopsy?

DLE Criteria: Studies show that up to 28 percent of people with DLE develop Systemic Lupus Erythematosus. If a person has SLE also the American College of Rheumatology and SLIIC criteria can be used to help determine the presence of disease. Studies have tried to validate the SLIIC criteria for DLE alone but DLE sometimes exists in a pathologically singular form. http://tinyurl.com/j6lvnv4 ...Read more

16

16
Went for a microscopic urinalysis results - mucus present and urine culture- organisms recovered in low numbers. What do these mean? Infection?

Went for a microscopic urinalysis results - mucus present and urine culture- organisms recovered in low numbers. What do these mean? Infection?

Unlikely: Urine screening tests also look for other markers of infection like nitrite and leukocyte enzymes. If those were negative and urine culture had low number of bacteria, it is not likely to be infection. ...Read more

18

18
Flu medical trial.I currently use canastan hc cream for a minor skin condition. Could this show up on the blood test?

Flu medical trial.I currently use canastan hc cream for a minor skin condition. Could this show up on the blood test?

Do I understand?: If you are asking whether this will cause a problem when you are screened for illegal drug use, then please accept my reassurance. I'm glad you're not doing illegal drugs, as well as taking care of your skin problem. ...Read more

20

20
Need clarification: are antibodies not picked up thru urine just the same as blood? (needed to do HIV urine sample for life insurance policy).

Need clarification: are antibodies not picked up thru urine just the same as blood? (needed to do HIV urine sample for life insurance policy).

Urine HIV test: The most common HIV test, the enzyme-linked immunosorbent assay, or elisa (also called eia), is used to detect HIV antibodies in a sample of the blood. Other versions of the antibody HIV test use a sample of saliva or urine. In clinical practice, blood antibody testing is the method of choice. ...Read more