Blood Drug Testing

INTERPRETING FBS TEST AND URINALYSIS TEST RESULTS - Can somebody help me?

Can somebody help me give interpretation for the following results? Patient: Male, 16 yrs. old BLOOD CHEMISTRY Test: FBS Result: 4.59 MMOL/L Normal Value: 3.10-6.40 MMOL/L MICROSCOPY Test: Urinalysis Results: Physical Characteristics Color: Yellow Transparency: Hazy Reaction: Acidic pH: 5.00 Specific Gravity: 1.03 Chemical Test Albumin: [-] Sugar: [-] Microscopic Findings Cells RBC: 0-1/HPF PUS Cell: 0-2/HPF Squamous Cell: Rare Bacteria: Few Mucus Threads: 2+ I am tasked to give interpretation for each specific finding clearly and completely. Thank you. Can somebody help me give interpretation for the following results? Patient: Male, 16 yrs. old BLOOD CHEMISTRY Test: FBS Result: 4.59 MMOL/L Normal Value: 3.10-6.40 MMOL/L MICROSCOPY Test: Urinalysis Results: Physical Characteristics Color: Yellow Transparency: Hazy Reaction: Acidic pH: 5.00 Specific Gravity: 1.03 Chemical Test Albumin: [-] Sugar: [-] Microscopic Findings Cells RBC: 0-1/HPF PUS Cell: 0-2/HPF Squamous Cell: Rare Bacteria: Few Mucus Threads: 2+ If he's acidic, what are the things he needs to do? I am tasked to give interpretation for each specific finding clearly and completely. Thank you.

Public Comments

1. Hey, Jr. Doc - You don't ask for much, do you? Well, let's see what we can do, eh? So our kid's fasting... OK. Color is WNL (within normal limits); Transparency - Hazy is one step above "Turbid"; there is probably particulate sediment present, which, in small amounts, is not unusual. pH = 5 - definitely acidic. Specific Gravity (SG) = 1.03 - very, very dilute specimen and guaranteed not his first morning specimen, also may indicate he's not dehydrated. Albumin and sugar = negative - glomeruli are doing their job, not allowing larger molecules out of vascular circulation. Micro: RBC - 0-1/HPF is WNL; PUS (I'm assuming this is WBC's) - 0-2/HPF - again WNL; Squamous cell: Rare - WNL; Bacteria - Few (is our guy circumcised or not?) very possibly present due to a urine catch method other than a mid-stream clean-catch, and present at the urethral meatus from migration from the glans' surface; Mucus Threads - present in early pyelonephritis, as well as other pathologic and few non-pathologic conditions; most likely from "flushing" glomeruli. Although the majority of these answers is correct, I doubt that they're 100%; but it may give you enough guidance to get through the mundane and hit the high points. Good luck.
2. all the parameters except the presence of bacteria are normal.the bacteria may be contaminants from the skin etc. but a repeat mid - stream urine examination with aseptic precautions will clarify the situation and a urine culture and sensitivity test will also be helpful.