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A positive dipstick result for blood could signify the presence of red blood cells, hemoglobin, or myoglobin, and therefore requires microscopic analysis for confirmation. [143] Intact red blood cells will normally be observed under the microscope if present, but they may lyse in dilute or alkaline samples. [ 97 ]
Reference ranges for urine tests are described below: Measurement Lower limit Upper limit ... Red blood cells (RBCs) 0 [4] [2] 2 [2] - 3 [4] per High Power Field (HPF ...
Microhematuria, also called microscopic hematuria (both usually abbreviated as MH), is a medical condition in which urine contains small amounts of blood; the blood quantity is too low to change the color of the urine (otherwise, it is known as gross hematuria).
A urine dipstick test may also give an incorrect positive result for hematuria if there are other substances in the urine such as myoglobin, a protein excreted into urine during rhabdomyolysis. A positive urine dipstick test should be confirmed with microscopy, where hematuria is defined by three or more red blood cells per high power field. [6]
Contemporary urine testing uses a range of methods to investigate the physical and biochemical properties of the urine. For instance, the results of the routine urinalysis can provide information about the functioning of the kidneys and urinary system; suggest the presence of a urinary tract infection (UTI); and screen for possible diabetes or ...
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 ...
Glitter cells (also called Sternheimer-Malbin positive cells) are polymorphonuclear leukocyte neutrophils with granules that show a Brownian movement and that are found in the urine, most commonly associated with urinary tract infections or pyelonephritis and especially prevalent under conditions of hypotonic urine (samples with specific gravity less than 1.01). [1]
The most common type of cast, hyaline casts are solidified Tamm–Horsfall mucoprotein secreted from the tubular epithelial cells of individual nephrons. Low urine flow, concentrated urine, or an acidic environment can contribute to the formation of hyaline casts, and as such, they may be seen in normal individuals in dehydration or vigorous exercise.