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Thus, a positive result for blood can represent the presence of red blood cells , free hemoglobin (hemoglobinuria), or myoglobin (myoglobinuria). [51] Red blood cells can sometimes be distinguished from free hemoglobin or myoglobin as the former causes a speckled pattern on the test pad while the latter results in a uniform color change.
Example of a container used for collecting 24-hour urine samples. This particular container is free of trace metals to allow for accurate measurement of these substances in urine. The techniques used to collect urine specimens vary based on the desired test. A random urine, meaning a specimen that is collected at any time, can be used for many ...
The normal number of red blood cells in urine should not usually exceed 3 per high power field. [13] A urine test strip showing positive for blood can also indicate hemoglobinuria, which is not detectable using a microscope due to the lysis of red blood cells in the urinary tract (particularly in alkaline or dilute urine), or intravascular ...
In complicated or questionable cases, it may be useful to confirm the diagnosis via urinalysis, looking for the presence of urinary nitrites, white blood cells (leukocytes), or leukocyte esterase. [54] Another test, urine microscopy, looks for the presence of red blood cells, white blood cells, or bacteria.
α-Naphthyl butyrate esterase, also referred to as naphthyl butyrate esterase or butyrate esterase, is a histological stain specific for white blood cells of the monocytic proliferation line. [ 1 ] References
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Urine anion gap is calculated by subtracting the urine concentration of chloride from the concentrations of sodium plus potassium (): [3] = [+] + [+] [] where the concentrations are expressed in units of milliequivalents/liter (mEq/L).
In men, urethritis is diagnosed by at least one of the following: mucopurulent or purulent urethral discharge on examination, ≥ 2 white blood cells per oil immersion field from a Gram stain of a urethral swab, or positive leukocyte esterase and/or ≥10 white blood cells per high power field of the first-void urine.