Re: - R.Daniel Braun - CBC and Differential and Urine test - Concerned - could high results effect pregnancy?
From: dawn (anonymous@obgyn.net)
Fri, 30 Jun 2000 12:50:21 -0500 (CDT)
Thanks for responding. The urine sample was done at the ER. They put a
tube in my bladder so they could fill it up with water for the
ultrasound. After the ultrasound I was taken back to the room on the
bed and was told to pee through the tube and it was collected from the
end of the tube. So I think that's what you mean by catheterization so
yes it was done that way.
I was not bleeding that day at all and had only bled 1 time which was
several weeks prior to the ER visit. Therefore there should have been
no blood and since the urine was collected through a tube in my bladder
the blood was directly from the urine. Any other reasons for the blood
being there?
The ketones sounds accurate. I was at the hospital for 6 hours and they
gave me nothing to eat and I was so hungry so that probably explains
that.
The squamous cells could not be from the vaginal lining since the urine
was collected by a tube in my bladder. Any other reason for that then?
And the mucous?
Since it was done by catheterization (if thats what you mean.. a tube
being put in the bladder) then it was not contaminated with anything or
the vaginal lining/secretions.
They told me I had a UTI and now it's gotten bad to where I pee in a
clear cup and I see big circles of something looking like tissue
floating around. I'm also concerned about my kidneys.. could the blood
indicate a kidney infection? I had a kidney stone a LONG time ago and I
know blood was found in my urine then. Thanks
dawn
At Fri, 30 Jun 2000, R. Daniel Braun, MD wrote:
>
>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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