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A clinical laboratory scientist reviewed the following urinalysis report performed by a student technologist before releasing the results.

A clinical laboratory scientist reviewed the following urinalysis report performed by a student technologist before releasing the results. The urine sample is from a 35-year-old male, following a pre-employment exam.
Color           Amber
Appearance       Hazy
Specific gravity   1.020
pH           6.5
Protein           Neg
Glucose       Neg
Ketones       Neg
Bilirubin       Neg
Blood           Neg
Urobilinogen       0.1 EU
Nitrite           Neg
Leukocyte esterase   Neg
WBCs           0–3/HPF
RBCs           30–40/HPF
Epithelial cells       Few squamous/HPF
Casts           Rare hyaline
Bacteria       Neg

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a. Identify any abnormal results.
b. Are any results discrepant?
c. If discrepant results are found, what should be the first course of action?
d. What should be the next course of action?
e. What are five possible explanations for these results?
f. What structures can be confused with RBCs, WBCs, and casts?

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