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A 30-yearold woman being treated for a UTI brings a urine specimen to the Employee Health Clinic at 4:00 pm. The nurse on duty

 

A 30-yearold woman being treated for a UTI brings a urine specimen to the Employee Health Clinic at 4:00 pm. The nurse on duty tells her that the specimen will be refrigerated and tested by the technologist the next morning. The technologist has difficulty interpreting the color of the reagent strip test and reports only the following results. COLOR: Amber CLARITY: Slightly cloudy Microscopic: 3 to 5 RBCs/hpf 8 to 10 WBCs/hpf Moderate bacteria Moderate colorless crystals appearing in bundles Questions a. What could have caused the technologist to have difficulty interpreting the reagent strip results? b. Could this specimen produce yellow foam when shaken? c. How could it be checked for the presence of bilirubin? Would this really be necessary? d. What could the technologist do to aid in the identification of the crystals? e. What is the probable identification of the colorless crystals?

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