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Medicine General ca37571c

A young lady presents with symptoms of Urinary Tract Infection. All of the following findings on a midstream urine sample suppo the diagnosis of 'Uncomplicated Acute Cystitis', EXCEPT:

A
Positive Nitrite Test
B
CFU count < 1000/ml
C
Detection of one bacteria / field on Gram stain
D
>10WBC/HPF
High-Yield Explanation
Lab Findings in Uncomplicated acute cystitis are: Urinalysis dipstick: pH>7, positive for leuckocyte esterase and nitrites. Microscopic exam: WBC> 2-5 WBC/HPF, bacteria, positive gram stain for cocci or rods, yeasts, and blood Urine culture and sensitivity: positive culture standard 105 CFU, symptomatic female - 102 & symptomatic males - 103 Ref: Family Practice Guidelines By Jill C. Cash, Cheryl A. Glass - Page 282

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