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What Do My Blood Test Results Indicate?

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Posted on Mon, 25 Apr 2016
Question: Hi Doc,

My blood work came back great. My urine test look disturbing, should i be concerned?
Monocyte Count .7 k/ul
Basophils Absolute 0.06
Red Blood in urine 4-10 HPF
Squamous Epithelia cells, Many
Protein - Trace
Ketone - 40 mg

doctor
Answered by Dr. Bonnie Berger-Durnbaugh (18 minutes later)
Brief Answer:
Some information about your urinalysis

Detailed Answer:
Hello and welcome,

So... the squamous cells (many) means that skin cells from the labia were picked up as you urinated, making the specimen somewhat contaminated with skin things. This happens often.

But I am concerned about two things:
1. Blood cells: this could have been picked up from the skin if you recently had a period, or irritation to the urethra. Should be repeated with a "clean catch" just to make sure there is nothing else is going on.

2. Ketones: Ketones are most commonly a sign of diabetes. But if your blood tests, including sugars, were fine, then it could be from other things. These include:
Abnormal food or nutrition intake due to eating disorders, fasting, high protein or low carbohydrate diet
vomiting
Burns
Fever
Hyperthyroidism
Nursing a baby
Pregnancy

So, I think you should follow up with your doctor to discuss the presence of ketones, and to repeat the UA if you don't know of an obvious reason for the v. small amount of blood.

I hope this information helps.
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3134 Questions

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What Do My Blood Test Results Indicate?

Brief Answer: Some information about your urinalysis Detailed Answer: Hello and welcome, So... the squamous cells (many) means that skin cells from the labia were picked up as you urinated, making the specimen somewhat contaminated with skin things. This happens often. But I am concerned about two things: 1. Blood cells: this could have been picked up from the skin if you recently had a period, or irritation to the urethra. Should be repeated with a "clean catch" just to make sure there is nothing else is going on. 2. Ketones: Ketones are most commonly a sign of diabetes. But if your blood tests, including sugars, were fine, then it could be from other things. These include: Abnormal food or nutrition intake due to eating disorders, fasting, high protein or low carbohydrate diet vomiting Burns Fever Hyperthyroidism Nursing a baby Pregnancy So, I think you should follow up with your doctor to discuss the presence of ketones, and to repeat the UA if you don't know of an obvious reason for the v. small amount of blood. I hope this information helps.