URINE ANALYSIS COMPUTER EVALUATION Copyright 1988, BALANCE, Inc., Dr. R. M. Cessna All Rights Reserved BALANCE Software, Inc. ANALYSIS 6056 N. Oracle Road Tucson, Arizona 85704-5310 Date......: 10/31/00 Patient: Account Miscellaneous Page......: 1 nnn Sex.......: Male n, n n Age.......: 22 Weight....: 320 Doctor.: BALANCE Software, Inc. TEST DESCRIPTION=============RESULTS=====CLINICAL======UNITS=============== SPECIFIC GRAVITY 1.005 1.002 - 1.030 REACTION (pH) HI 7.700 5.000 - 7.500 PROTEIN 0.000 0.000 - 0.000 mg/dl GLUCOSE (Sugar) HI 51.000 0.000 - 50.000 mg/dl LEUKOCYTES (Pus Cells) 0.000 0.000 - 1.000 EPITHELIAL CELLS HI 1.100 0.000 - 1.000 CRYSTALS 0.000 0.000 - 1.000 AMORPHOUS MATERIAL 0.000 0.000 - 1.000 MUCIN 0.000 0.000 - 1.000 BENCE-JONES PROTEIN 0.000 0.000 - 1.000 mg/dl UROBILINOGEN HI 1.100 0.100 - 1.000 Eu/dl NITRITE 0.000 0.000 - 0.000 Units OCCULT BLOOD 0.000 0.000 - 0.000 Units BILIRUBIN 0.000 0.000 - 1.000 Units KETONES 0.000 0.000 - 5.000 mg/dl ELECT/CARBOHYDRATE Ratio 5.000 4.900 - 5.100 AMMONICAL UREA NITROGEN 3.300 2.500 - 3.500 NITRATE UREA NITROGEN 3.200 2.500 - 3.500 INDICAN HI 1.100 0.000 - 1.000 Units *********************************************************************** * THIS ANALYSIS IS NOT INTENDED TO DIAGNOSE OR TREAT ANY DISEASE * OR CONDITION. IT IS IMPERATIVE THE PHYSICIAN SUPPORT THESE * * FINDINGS WITH ADDITIONAL LABORATORY DATA AND/OR CLINICAL PROCEDURES * *********************************************************************** ===================== URINARY CLINICAL PATHOLOGY ====================== Increased alkalinity may result following a full meal, after consuming large amounts of citrus fruits, or as a result of taking alkalies. Urine may be alkaline in chronic cystitis and retention of urine in the bladder due to decomposition by bacteria. Long standing urine samples result in bacterial decomposition of urea and the liberation of ammonia causing an alkaline reaction. Glucose is normally present in 0.01 to 0.03 gram per 100 cc. of urine. In diabetes mellitus sugar usually appears in the urine when the level of glucose in the blood rises above 160 mg. per 100 cc. (varies from 114 to 216 mg.). In renal diabetes glucose appears in the urine with normal or low blood levels. URINE ANALYSIS COMPUTER EVALUATION Copyright 1988, BALANCE, Inc., Dr. R. M. Cessna All Rights Reserved BALANCE Software, Inc. ANALYSIS 6056 N. Oracle Road Tucson, Arizona 85704-5310 Date......: 10/31/00 Patient: Account Miscellaneous Page......: 2 nnn Sex.......: Male n, n n Age.......: 22 Weight....: 320 Doctor.: BALANCE Software, Inc. *********************************************************************** * THIS ANALYSIS IS NOT INTENDED TO DIAGNOSE OR TREAT ANY DISEASE * OR CONDITION. IT IS IMPERATIVE THE PHYSICIAN SUPPORT THESE * * FINDINGS WITH ADDITIONAL LABORATORY DATA AND/OR CLINICAL PROCEDURES * *********************************************************************** ===================== URINARY CLINICAL PATHOLOGY Cont. ================ Glycosuria may be present after brain injury and after coronary thrombosis. * Consider ordering a serum glucose. Urobilinogen is formed in the intestine by the action of bacteria on bile pigment. A temporary increase may be caused by constipation. Consider hemolytic jaundice. Small round epithelial cells are abundant in glomerulonephritis, nephrosis, hemolytic anemias and hemochromatosis. Epithelial caudate and cylindrical cells are derived from the transitional epithelium which lines the bladder, ureters, and pelves of the kidneys. Indole is the product of putrefaction of protein in the intestinal tract and is excreted as indican. It is increased in: 1) Diets rich in proteins. 2) Intestinal indigestion and intestinal obstruction. 3) Diseases of the stomach associated with decreased hydro- chloric acid, gastritis, and in gastric neoplastic disease. 4) Diminished bile flow. 5) Decomposition of protein in other parts of the body as occurs in peritonitis, empyema and large abscesses. * Order a psyllium seed bulking agent bowel cleansing program. * Order CEA if clinical signs are suggestive of bowel malignancy. ====================== METABOLIC URINE ANALYSIS ======================= Suspect potassium deficiency. Consider ordering a serum poatassium and electrocardiographic examination. ========================= END OF REPORT ===========================