The presence of protein is significant. Proteinuria suggests the kidney itself is damaged and concerted efforts must be made to find out how. Haematuria alone may cause a dipstick to read up to 2+ for protein but this should be better defined by sending the urine for a protein:creatinine ratio which will much more accurately quantify the loss. Leucs and particularly nitrites suggest a urinary tract infection as the cause. This should be confirmed with microscopy and culture and can then be treated according the usual UTI protocols.
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