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Re: CBC and Differential and Urine test - Concerned - could high results effect pregnancy?

From: Claudia Twisdale RN (anonymous@obgyn.net)
Fri, 30 Jun 2000 08:10:58 -0500 (CDT)


Looks like the only big deal here was 3+ ketones, which indicate some degree of dehydration, either from throwing up or just not drinking enough. Make sure to drink LOTS of fluids, (no soda) esp if you are in a hot, humid area.

At Fri, 30 Jun 2000, dawn wrote: >
>Well, I'm back again with a few questions. I got the report from the ER
>when I was there on June 7th with the chance of an ectopic but found out
>everything was fine. My complete medical records were mailed to me by
>my request and I received them yesterday and was reviewing them. I had
>a few questions and was wondering if someone could explain them to me.
>I'm now 11 weeks pregnant.
>
>1. The ER did a CBC and Differential on me and everything came out
>normal(WBW, RBC,HGB, HCT,MCV,MCH,MCHC,RDW and the platelet count) and
>everything was in normal range on the Differential (Neutrophil, Lymphs,
>Monocyte,Eosinophil,Basophil, lynphs absolute, monos absolute, eosin
>absolute, and baso absolute) except for the Neutrophil absolute which
>came back High. What does this mean and is this anything to be
>concerned with?
>
>2. I was told at the ER that I had a urinary infection but that they
>wouldn't give me anything for it since Im pregnant. I was looking at my
>records on the urine test and a few things caught my eye and I wanted to
>know how bad this is.. Everything on the Urine-Physical/Chemical came
>out within normal range except for the ketones which should be negative
>and I have 3+. Also blood in the urine is supposed to be negative and
>mine came back 1+. Is blood in the urine something to be concerned
>about or is that normal for UTIs? On the Urine-Microscopic part the
>RBC/HPF is in range but where it says "Squamous/LPF" is shows me as Rare
>and the normal range should be 1+. What the heck does that mean?? The
>bateria/HPF for me showed as 1+ and normal for that says Rare. What the
>heck does that mean also? The mucous level was 1+ in my urine and the
>normal range says Rare. Is my urine really abnormal with a lot of
>infection or is this common with a UTI? Should I be concerned?
>
>Chart (since what I wrote might be confusing)
>Urine-Physical/Chemical Normal Range
>- Ketones 3+ NEG
>- Blood 1+ NEG
>
>Urine-Microscopic
>- WBC/HPF 2-5 0-2
>- Squamous/LPF RARE 1+
>- Bacteria/HPF 1+ RARE
>- Mucus 1+ RARE
>
>Somebody please explain this to me.. I'm concerned about the blood
>found in urine and what's up with the rare stuff? I appreciate it! I'm
>going crazy wondering if this is normal or not or maybe I'm just
>over-reacting and that this IS normal for a urinary tract infection.
>dawn




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