Top
30
Doctor insights on: Urinalysis Macro Reflex To Micro

Share

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 "urinalysis, complete with reflex to culture"?

What is "urinalysis, complete with reflex to culture"?

Culture if needed: It means the lab will process the urine for culture if they find white blood cells on the urinalysis. ...Read more

3

3
What does urinalysis w/reflex to microscopic examination mean?

What does urinalysis w/reflex to microscopic examination mean?

Urine test: Urinanalysis is test commonly done to check for infection, blood, sugar, ketones etc. The reflex microscopic portion is done automatically if the initial test shows any abnormality. For example, if there are signs of infection, then technicians will automatically look at the specimen under the microscope to see if there are any bacteria. This helps to decide on further testing and treatment. ...Read more

5

5
Dr ordered baseline ua with reflex, what does this mean?

Additional test: Reflex tests are tests done based on the findings of another test. In the case of urine, if an increased number of white cells or bacteria are seen on initial examination, the urine may be cultured as a reflex. ...Read more

6

6
What does a ua compleate with reflex panel test for?

Depends on initial: Findings. Reflex tests are based on initial findings of urinalysis. Please see this site for more info.
http://www. Mayoclinic. Com/health/urinalysis/my00488. ...Read more

8

8
What's it mean if I have trace leukocytes in urinalysis but no UTI symptoms. Micro analysis showed bacteria were "rare"?

What's it mean if I have trace leukocytes in urinalysis but no UTI symptoms. Micro analysis showed bacteria were "rare"?

Don't worry: Ignore it. If you have no symptoms of infection and you're a man, it can be due to anything from jalepino peppers to a stray underwear thread; it's your physician's call to search for trichomonas or chlamydia. If you're a lady, it can be contamination from nearby. ...Read more

9

9
Negative on urinalysis (protein, etc), negative on gram stain (no micro, 1-3 pus cels/hpf) but extremely cloudy urination. Also no pain urinating.?

Negative on urinalysis (protein, etc), negative on gram stain (no micro, 1-3 pus cels/hpf) but extremely cloudy urination. Also no pain urinating.?

Drink water: The urine analysis is probably ok. A few contaminated cells. If you are worried about the cloudy urine; Drink more water. See if the cloudy urine turns to a light colored urine the color of a straw hat. Follow up with your doctor to let them know you are urinating with no pain and the urine is now normal. ...Read more

10

10
Urologist testing showed slight bladder irritation kink in ureter for micro blood. Recent urinalysis showed leukcocyte esterase no infection. Cause?

Urinalysis: Leucocyte esterase comes from white blood cells - infection fighters. Having these cells in your urine when there is no infection likely means that they are coming from the area surrounding your urethra - vagina, vulva as possibilities - if this was a specimen collected by urinating in a cup. If they are in cathed urine then they were either in your bladder or snuck on to the catheter mistakenly. ...Read more

11

11
Micro hematuria 2yrs both cystoscopy & upper CT negative urinalysis hemoglobin small, RBC 2-5. Dr says this is common for some people. Should I worry?

Micro hematuria 2yrs both cystoscopy & upper CT negative urinalysis hemoglobin small, RBC 2-5. Dr says this is common for some people. Should I worry?

Donot worry: This condition is called " idiopathic hematuria", which simply means that it is not due to any disease therefore Donot worry. Also please remember that it does not always go away, next time you have a urine test with a different doctor, he may tell you the same. Please remember you Donot need to undergo the tests again.
Your doctor is right when he says that you should not worry. ...Read more

12

12
New symp of uti. Urgency, low fever, pressure. Nitrate and leukocyte neg but micro blood positive. Can urinalysis be neg in very early uti infections?

New symp of uti. Urgency, low fever, pressure. Nitrate and leukocyte neg but micro blood positive. Can urinalysis be neg in very early uti infections?

See remark: Not really if you have the symptoms of UTI. Was a culture done? Most urologists would treat you it you
have fever and await culture result.
If you have hx. Of UTI make it a habit of using cranberry juice or tablets as a prophylaxis
Wishing you best of health ...Read more

13

13
Micro hematuria 2 yrs. Both Upper CT Scan & cystoscopy neg. Urologist says idiopathic. Urinalysis Hemoglobin, small, RBC 2-5. What could be the cause?

Micro hematuria 2 yrs. Both Upper CT Scan & cystoscopy neg. Urologist says idiopathic. Urinalysis Hemoglobin, small, RBC 2-5. What could be the cause?

Need more exams: Your physician should undertake a complete evaluation and order some additional tests -- depending on your age, the blood could also be from your genital area, etc. ...Read more

14

14
I just had a UA w Micro test done. The blood portion resulted as Abnormal and says *trace-intact. The RBC's also say Abnormal and has an * 3-7.?

Urinalysis: Relevance depends on the type of symptoms and specimen. A cathed specimen should not have blood in it. If this is a clean catch it is common for women to have some blood in their urine. Kidney stones and urinary tract infection can cause you to have some blood in your urine. ...Read more

15

15
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

16

16
50yo, male, UA:Small Blood, Micro eval:RBC 0-2hpf, WBC-0-2.Otherwise UA & blood fine. It was repeat test-exactly same results 1wk ago-should I be concernd?

50yo, male, UA:Small Blood, Micro eval:RBC 0-2hpf, WBC-0-2.Otherwise UA & blood fine. It was repeat test-exactly same results 1wk ago-should I be concernd?

Follow it: Especially if you're a weekend athlete or had exerted yourself. Myoglobin from your exercised muscle may be producing the bogus positive for blood. With 0-2 red cells in the sediment, it's not something to worry about. ...Read more

17

17
Hello, I would like to get a possible "unofficial" diagnosis/advice of possible chronic kidney disease from protien in my UA and micro albumin/creat.

Hello, I would like to get a possible "unofficial" diagnosis/advice of possible chronic kidney disease from protien in my UA and micro albumin/creat.

Proteinuria: Of course the amount of protein in your urine, as determined by analysis of protein amount in an accurate 24 hour urine collection, is very important. A nephrologist is best qualified to evaluate, advise and treat you for significant proteinuria. Appropriate tests will be ordered. ...Read more

18

18
Severe sudden pain in left side of abdomen next to belly button that is relieved by urination. UA w/micro was perfect. GYN exam was perfect?

Severe sudden pain in left side of abdomen next to belly button that is relieved by urination. UA w/micro was perfect. GYN exam was perfect?

See a urologist: If your urine is clean and your GYN examination is normal then you need to see a urologist to make sure you are emptying the bladder every time you urinate by checking the residual volume. If it is high that will explain the pain if not at least they can figure out what else causing this pain that get relieved by urination ...Read more

19

19
What can a urinalysis tell you?

What can a urinalysis tell you?

ALOT: A urine analysis (ua) can show: state of hydration (spec grav), kidney disease (protein), diabetes (sugar/ketones), stone/tumor (blood), liver disease (bilirubin), infection (white cells/nitrite). Also seen under the microscope are casts, crystals, bacteria, yeast. Separate tests check pregnancy (HCG) and drug screen. Remember to do ua as a 'clean catch'
wipe area, urinate, catch urine, finish. ...Read more

21

21
How to figure out my urinalysis results?

Call your doctor: The doctor that ordered the urinalysis will have a report. You can request a copy of your results from them. ...Read more

22

22
How can I interpret this urinalysis report?

How can I interpret this urinalysis report?

Urinalysis interp: Any test result is best interpreted with knowledge of why the test was ordered, what the patient symptoms or background was, etc. Many urine tests are "screening" tests for common issues- infection, diabetes, kidney disease, liver disease, etc. But these all change depending on the age, sex, and background of the patient ...Read more

24

24
What is the definition or description of: urinalysis?

Routine test on urin: It is a routine test on urine which tests for concentration of urine with specific gravity, screening for glucose, protein, blood, nitrites which is a screening test for infection. And microscopic exam for white blood cells and red blood cells. ...Read more

25

25
What could cause my urinalysis to have an abnormal ph?

Insufficient info: What was the pH of your urine? Urine is normally acidic. Depending on a person's diet or medication it may be alkaline. ...Read more

26

26
What are the differences between an ria urinalysis and an emit urinalysis?

See below: Urinalysis tests for cells and some common metabolites. EMIT is an assay to measure drugs, usually drugs of abuse. For more info on routine urine analysis, see this site:
http://www. Mayoclinic. Org/tests-procedures/urinalysis/basics/definition/PRC-20020390 ...Read more

27

27
What does a urinalysis check for?

What does a urinalysis check for?

Basic UA: A basic Urinalysis will check for:
Leukocytes, Nitrite, Protein, Blood, specific gravity, pH, and Glucose (sugar). ...Read more

28

28
I had a urinalysis and it said that I have an albumin trace. What is albumin?

I had a urinalysis and it said that I have an albumin trace. What is albumin?

A protein: Normal kidneys are not supposed to lose protein. Albumin is a form of protein. If you are losing traces of albumin, it means the membranes in the kidney that usually retain and hold the protein from spilling into the urine has become leaky, which is usually a result of inflammation and damage. See a doctor to run more tests to prevent the condition from worsening. ...Read more

29

29
Just had a urinalysis. And specific gravity was 1.005 and pH 7.0. Is this ok? My norm specific grav is 1.20 or so.

Yes: Lower specific gravity on ua simply means that you were more hydrated, and your urine less concentrated, than the last time you gave a specimen. Your ph is also within the normal ranges. ...Read more

30

30
Urinalysis results show 1 occult blood?

Urinalysis results show 1 occult blood?

Terminology: The term occult blood is usually used for blood in stool. Blood in urine may be a red cells or hemoglobin. All lab results need to be interpreted in the clinical context and the doctor who ordered the test is usually in the best position to do that. See this site for more info.
http://www. Mayoclinic. Com/health/blood-in-urine/ds01013. ...Read more