What does positive urine protein indicate in a clinical pathology analysis?

• A. Normal kidney function
• B. Possible glomerular disease or urinary tract abnormalities
• C. High hydration levels
• D. Infection in the urinary tract

Answer: (B)

Positive urine protein in a clinical pathology analysis suggests the presence of proteins in the urine, which can indicate underlying health issues. Specifically, it often points to possible glomerular disease, where the kidneys are not filtering blood effectively, allowing proteins that would normally be retained in the bloodstream to leak into the urine. This can occur due to conditions such as glomerulonephritis or nephrotic syndrome. Additionally, urinary tract abnormalities can also cause protein leakage, as certain structural or functional abnormalities may disrupt normal kidney function and lead to proteinuria (the presence of excess protein in the urine).

Normal kidney function would typically result in minimal to no protein in the urine, while high hydration levels would dilute the urine, paradoxically leading to less concentration of protein, not more. Infection in the urinary tract may sometimes result in protein presence, but that is more likely accompanied by other indicators such as blood or signs of inflammation. Thus, the interpretation of positive urine protein is significantly more associated with glomerular disease or urinary tract abnormalities.