Coming through the ER complaining of severe abdominal pain (acute abdomen), this 20-year-old woman was admitted to rule out appendicitis, pancreatitis, pyelonephritis, abdominal abscess, or ruptured viscus. Because she was 36 weeks' (estimate) IUP, a low C-section was performed and the child was delivered. Her appendix was found to be ruptured, and it was removed at the same time. Blood cultures were positive for E. coli, sensitive to Cefotan (cefotetan disodium) and to gentamicin, which she was given. The urinalysis, obtained two days post-surgery, was as follows: glucose negative, bilirubin small, ketones 40 mg/dL, specific gravity 1.025, blood negative, pH 6.5, protein 30 mg/dL, urobilinogen 1.0 EU/dL, nitrite negative, leukocyte esterase trace, color orange, WBCs 5-10/HPF, RBCs rare/HPF, epithelial cells 1+/HPF, bacteria 1+/HPF, casts 1-5 granular, Icotest negative. C&S was not requested on this urine.
Case Question: What aspects of the urinalysis do you find significant? Explain. What would one expect to see in her urine microscopic exam?