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What Does This Blood Report Indicate?

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Posted on Tue, 12 Jul 2016
Question: I have just received lab results from a company physical, whereby, absolute monocytes are listed as 957; leukocyte esterase is 1+; squamous epithelial cells 20-40; bacteria is moderate. What does that mean???
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Answered by Dr. Panagiotis Zografakis (43 minutes later)
Brief Answer:
viral illness, contaminated urine specimen?

Detailed Answer:
Hello,

I understand that you had no symptoms. The monocytes count is only marginally elevated. There are too many causes of monocytosis but for similar elevations the most likely cause is a recent viral infection. The most likely cause of having many epithelial cells and bacteria in the urine is a contaminated specimen. A good urine sample requires that the patient washes the genitalia with water and/or soap (no antibacterial products) and provide the mid-stream specimen. It's important to avoid getting the urine into contact with the skin (foreskin in men or the labia in women). You should repeat the tests after a month or so.

I hope you find my comments helpful!
You can contact me again, if you'd like any clarification or further information.

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
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Answered by
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Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3818 Questions

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What Does This Blood Report Indicate?

Brief Answer: viral illness, contaminated urine specimen? Detailed Answer: Hello, I understand that you had no symptoms. The monocytes count is only marginally elevated. There are too many causes of monocytosis but for similar elevations the most likely cause is a recent viral infection. The most likely cause of having many epithelial cells and bacteria in the urine is a contaminated specimen. A good urine sample requires that the patient washes the genitalia with water and/or soap (no antibacterial products) and provide the mid-stream specimen. It's important to avoid getting the urine into contact with the skin (foreskin in men or the labia in women). You should repeat the tests after a month or so. I hope you find my comments helpful! You can contact me again, if you'd like any clarification or further information. Kind Regards!