PREGNANCY-BIRTH Messages for June, 2000: Re: CBC and Differential and Urine test - Concerned

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

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Fri, 30 Jun 2000 08:48:16 -0500 (CDT)

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Reply: dawn: "Re: - R.Daniel Braun - CBC and Differential and Urine test - Concerned - could high results effect pregnancy?"

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?

Nothing and NO.

>
>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+.

Probably means you hadn't eaten in the last 6 hours. Ketones are produced when fat is broken down to provide energy for your body.

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?

Probably contamination of the urine sample with vaginal discharge. You were probably having some vaginal bleeding or spotting since people were worried about an ectopic.

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??

Nothing except perhaps the sample was contaminated from skin or vagina. Squamous cells line the skin and vagina, but not the bladder.

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?

All of this is compatible with contamination by vaginal contents. It is almost impossible to collect a sample that is not contaminated by vaginal contents unles it is done by catheterization.

>
>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.

This is normal. If the specimen was collected by catheterization, it could be compatible with a UTI.

RDB

>dawn

-- R.Daniel Braun, MD FACOG FOG

**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private emails cannot be entertained due to time constraints, consequently no private emails will receive a response.

**Thank you for your understanding ;-)

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Next message: R. Daniel Braun, MD: "Re: tained Placenta"
Previous message: R. Daniel Braun, MD: "Re: phlegm"
In reply to: dawn: "CBC and Differential and Urine test - Concerned - could high results effect pregnancy?"
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