Presence of leukocytes in urine sediment suggests what?

• A. Pyuria; possible urinary tract infection or inflammation.
• B. Hydration status.
• C. Glucosuria.
• D. Hematuria.

Answer: (A)

Leukocytes in urine sediment indicate pyuria, the presence of white blood cells in the urine. White blood cells migrate to the urinary tract in response to infection or inflammation, so finding them in the sediment commonly points to a urinary tract infection or other inflammatory process in the urinary tract or kidneys. Hydration status affects urine concentration but does not explain leukocytes in the sediment. Glucosuria means glucose in the urine, usually from high blood glucose or tubular issues. Hematuria means red blood cells in the urine, indicating bleeding rather than an inflammatory white cell response. Therefore, seeing leukocytes supports pyuria and suggests a possible urinary tract infection or inflammation.