Question

Case #3 • A 80 years-old female diabetic patient with a fracture in hip has been confined to bed for the past 3 months. Results of an ancillary blood glucose test are 250 mg/dl and her physician orders additional blood tests and routine UA. • UA results are: • Microscopic exam: • 1-2 RBC/ hpf • 20-25 WBC/hpf • Many yeast cells and hyphae

Answer 1

Question 1: What are the yeast infection common in patient with DM?

Vaginal yeast infection is common in patients with DM. Yeast is sugar-fed. If the diabetes of the patient is not well-controlled, it can escalate to unreasonably high levels of blood sugar. This increase in sugar, particularly in the vaginal area, may cause yeast to overgrow. In response, your body can develop a yeast infection.

Question 2: With a blood glucose level of 250 mg/dl should glucose be present in the urine? why or why not.

The proximal tubule is exhausted when the blood glucose level reaches about 160-180 mg/dl and begins to excrete glucose in the urine. This level is known as glucose renal threshold(GRT).

Question 3: Is there is a discrepancy between negative nitrate and the positive LE? Explain your answer?

If the test for leukocytes is negative and the test for nitrite is negative: no evidence of UTI (if symptoms occur, check again or consult with health care provider). If the test for leukocytes is negative or trace, but the test for nitrite is positive: the results suggest UTI. If the test is positive for leukocytes and the test for nitrite is positive, the results suggest UTI.

Question 4: What is the major discrepancy between the chemical and microscopic results?

Routine urinalysis remains a key tool for alerting healthcare providers to kidney damage and/or urinary tract infection. Nevertheless, there may be differences between the routine urinalysis and the history of microscopy or patient due to physiological factors, medications or selection issues.

Question 5: Consider the patient's history, what is the most probable cause for the discrepancy?

In this case, the major discrepancy is the patient's history that is she is 80 years old patient having diabetic with fracture in hip.

Question 6: How can your answer to be confirmed? Briefly outline the testing procedure.

Bloodtest: Blood testing is a laboratory procedure conducted on a blood sample that is usually taken from an arm vein using a hypodermic needle or a fingerprick.

Urinalysis: Urinalysis is a popular urinalysis procedure used to assess your health and to help diagnose kidney, systemic, inflammatory, and neoplastic diseases, as well as urinary tract infections and neoplasms.