No More Spinach!!


A 42-year-old male is admitted to the hospital early in the morning after being awake all night with severe lower back pain.  At the hospital a urinalysis is performed:

 
Color: red Ketones: negative
Appearance: cloudy Bilirubin: negative
Specific Gravity:  1.030 Blood: large
pH:  5.5 Urobilinogen: normal
Protein:  trace Nitrite: negative
Glucose: negative Leukocytes: negative
Microscopic:  Many Squamous Epithelial Cells; 50-60 RBC/ hpf; many crystals

  
Which formed element present suggests a pathological condition?  
These, along with the patient's symptoms suggest what diagnosis?

Answer
(image courtesy of Dr. McLane)

This case study is a project for Dr. McLane's Honors Section of Urinalysis
Case study #2
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