Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Does The Following Urinalysis Report Indicate?
Question: urinalysis has elevated protein 30mg, trace of ketone, small amount of bilirubin, and trace of blood. CBC has CBC.....RBC- 4.54, MCV-103.5, MCH-34.8, non-fasting blood sugar-126. Liver function....SGPT-137, SGOT-106. Lipid Profile..... Cholesteral-247, HDL-83, LDL-136.
Brief Answer:
investigation is required
Detailed Answer:
Hello,
there are various abnormal test results, so I'll take them one by one...
- proteinuria: although this is not the best test to evaluate proteinuria, you do have more proteins in spot urine than normal. A 24 hour collection would clarify this issue. If the 24 hour urine collection has more than 300mg of protein then investigation for the cause would have to be done.
- trace of blood: it depends on what is meant by "trace". If you have more than 2-3 red blood cells per high power field then it's not normal and requires investigation. In a man of this age, the prostate or a urinary tract infection is the most likely source of blood. Investigation is required anyway. A urinary tract ultrasound scan would be a very good initial test.
- high MCV: this index may signify red blood cell production disorders or it may be normal. It's very close to the normal range. Sometimes lack of vitamin B12 or folic acid is the cause. Drinking too much alcohol is another common cause.
- fasting blood sugar: this is not abnormal. It's perfectly OK. It would have been abnormal if it were a fasting glucose measurement.
- transaminases: SGOT and SGPT are higher than normal probably 3 or 4 times higher than normal. Fatty liver disease definitely contributes to these high values. Perhaps fatty liver is the only cause! If the CT-scan involved the abdomen and the liver and pancreas were normal then it has to be fatty liver. Otherwise drugs, alcohol or other toxins will have to be blamed for this elevation.
- lipids: your lipid profile seems great! You have a high HDL cholesterol which is protective and a moderate LDL ("moderate" depends on the patient's history). LDL is the "bad" cholesterol which causes cardiovascular damage. Taking both values into account, you're probably OK unless you have a history of diabetes mellitus or cardiovascular events.
The loss of short term memory, rage, impatience, etc are probably signs of dementia. Before attributing anything to such disorders, careful evaluation is required to exclude other causes. A brain CT-scan or MRI and a biochemical panel would be useful in this regard.
I hope it helps!
Kind Regards!
investigation is required
Detailed Answer:
Hello,
there are various abnormal test results, so I'll take them one by one...
- proteinuria: although this is not the best test to evaluate proteinuria, you do have more proteins in spot urine than normal. A 24 hour collection would clarify this issue. If the 24 hour urine collection has more than 300mg of protein then investigation for the cause would have to be done.
- trace of blood: it depends on what is meant by "trace". If you have more than 2-3 red blood cells per high power field then it's not normal and requires investigation. In a man of this age, the prostate or a urinary tract infection is the most likely source of blood. Investigation is required anyway. A urinary tract ultrasound scan would be a very good initial test.
- high MCV: this index may signify red blood cell production disorders or it may be normal. It's very close to the normal range. Sometimes lack of vitamin B12 or folic acid is the cause. Drinking too much alcohol is another common cause.
- fasting blood sugar: this is not abnormal. It's perfectly OK. It would have been abnormal if it were a fasting glucose measurement.
- transaminases: SGOT and SGPT are higher than normal probably 3 or 4 times higher than normal. Fatty liver disease definitely contributes to these high values. Perhaps fatty liver is the only cause! If the CT-scan involved the abdomen and the liver and pancreas were normal then it has to be fatty liver. Otherwise drugs, alcohol or other toxins will have to be blamed for this elevation.
- lipids: your lipid profile seems great! You have a high HDL cholesterol which is protective and a moderate LDL ("moderate" depends on the patient's history). LDL is the "bad" cholesterol which causes cardiovascular damage. Taking both values into account, you're probably OK unless you have a history of diabetes mellitus or cardiovascular events.
The loss of short term memory, rage, impatience, etc are probably signs of dementia. Before attributing anything to such disorders, careful evaluation is required to exclude other causes. A brain CT-scan or MRI and a biochemical panel would be useful in this regard.
I hope it helps!
Kind Regards!
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
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
