Urinalysis Results
Osman, Faadumo
Admitted: Today
Unit: Med-Surg 4W
Dx: Acute confusion
Allergies: NKDA
Urinalysis collected by straight catheterization. Specimen obtained 57 minutes after sepsis alert initiated.
| Test | Result | Reference |
|---|---|---|
| Color | Dark amber | Pale yellow |
| Clarity | Cloudy | Clear |
| Specific gravity | 1.030 H | 1.005 to 1.030 |
| pH | 8.2 H | 4.5 to 8.0 |
| Protein | 2+ H | Negative |
| Nitrites | Positive ! | Negative |
| Leukocyte esterase | 3+ H | Negative |
| WBC | 25 to 30/hpf H | < 5/hpf |
| Bacteria | Many | None |
| Casts | Granular | None |
| Culture | Pending, 48 hr | N/A |
Clinical interpretation: complete the paragraph
The urinalysis confirms a
as the likely source of Faadumo's sepsis. Positive nitrites indicate
,
while leukocyte esterase 3+ and WBC 25 to 30/hpf confirm significant
.
The protein 2+ requires careful interpretation. In the context of her known , this may represent her rather than a new finding.
Because the urine culture is , antibiotic therapy remains until the causative organism is identified and sensitivities return.
The protein 2+ requires careful interpretation. In the context of her known , this may represent her rather than a new finding.
Because the urine culture is , antibiotic therapy remains until the causative organism is identified and sensitivities return.
UA interpreted.
UTI is the suspected source of Faadumo's sepsis. Culture is pending, so antibiotic therapy remains empirical. Her clinical picture is coming together.
Take card #24
