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What Does My Urine Analysis Test Report Indicate?

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Posted on Mon, 7 Sep 2015
Question: I recently had a urinalysis which showed WBC esterace 3+ and WBC count as abnormal 11-30. I was also noted as having beta hemolytic streptococcus group b with 50,000-100,000 colony forming units per ML. What does this mean:? Also ketones my ketones were abnormal at 2+. I also had a TSH Rfx on Abnormal to Free T4. ??? Result was 2.73. Do I have a thyroid problem?

My email address is YYYY@YYYY .

Thanks!
doctor
Answered by Dr. Shehzad Topiwala (19 minutes later)
Brief Answer:
No

Detailed Answer:
Your TSH is normal. It is extremely unlikely you have a thyroid problem because the TSH isa very reliable test to detect thyroid conditions.

The urine test results are concerning. Both the positive ketones as well as WBC counts and the bacteria are worrisome.

When I see someone like you I refer them straight to the ER (Emergency Room) after stabilising their vital signs such blood pressure.

For example, positive ketones can occur with high blood glucose levels i.e. diabetes. So it is important to test for this. The urine analysis suggests infection and that needs to be promptly treated.

You must immediately seek medical care. Typical tests that may be run on you in addition to a thorough physical examination are:

CBC
CMP
HbA1c
Urine culture
Serum Beta hydroxy butyrate
Blood gases
ECG
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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What Does My Urine Analysis Test Report Indicate?

Brief Answer: No Detailed Answer: Your TSH is normal. It is extremely unlikely you have a thyroid problem because the TSH isa very reliable test to detect thyroid conditions. The urine test results are concerning. Both the positive ketones as well as WBC counts and the bacteria are worrisome. When I see someone like you I refer them straight to the ER (Emergency Room) after stabilising their vital signs such blood pressure. For example, positive ketones can occur with high blood glucose levels i.e. diabetes. So it is important to test for this. The urine analysis suggests infection and that needs to be promptly treated. You must immediately seek medical care. Typical tests that may be run on you in addition to a thorough physical examination are: CBC CMP HbA1c Urine culture Serum Beta hydroxy butyrate Blood gases ECG