Homework Answers
1.The following disorder can be observed from the laboratory results and history are
- Microscopic hematuria
- Elevated BUN
- Elevated serum creatinine
- Elevated phosphate and calcium level
- Urine analysis:presence of RBC,WBC,cast cells casts,blood , protein,glucose and cloudy
2.The patient seems to have IgA nephropathy (Berger's disease)The lab values of increased IgA levels ,protein ,macroscopic hematuria This overtime has elevated the sr.creatinine,BUN,Calcium, phosphate, cause kidney failure
3.The additional diagnosis necessary are
- Biopsy to assess and confirm the disease
- Iothalmate clearance test
- Protein electrophoresis
- ANA
- CRP levels
4.A positive urine glucose test is an indicator if elevated blood glucose level or patient being a diabetic individual
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Case #4 Mr. Ali. is a seriously ill 42-year-old male with a history of several episodes...
Case #4 Mr. Ali, is a seriously ill 42-year-old male with a history of several episodes...
Case #4 Mr. Ali, is a seriously ill 42-year-old male with a history of several episodes of microscopic hematuria in the past 20 years. Until recently the macroscopic hematuria had spontaneously reverted to a symptomatic microscopic hematuria. Significant lab results include a BUN of 80 mg/dl (N:8-23 mg/dl), serum creatinine of 4.5 mg/dl (N:0.6-1.2 mg/dl), creatinine clearance of 20 ml/min (N:107-139 ml/min), serum calcium of 8.0 mg/dl (N: 9.2-11.0 mg/dl), serum phosphate of 6.0 mg/dl (N:2.3-4.7 mg/dl), and an elevated...
Case Study #4 year-old boy has a history of several infections in the past few months....
Case Study #4 year-old boy has a history of several infections in the past few months. He is now very ethargic and swollen, with generalized edema. He tells his mother that his urine is very foamy when he urinates and that he feels "awful." He is seen by his pediatrician, and urinalysis is performed with the following results: Physical Appearance Color: Pale Transparency: Cloudy Chemical Screening pH: 6.0 Specific gravity: 1.010 Protein (reagent strip): >2000 mg/dL Blood: Trace Nitrite: Negative...
1. A 20-year-old female was hospitalized with a suspected case of pneumonia. She also had a...
1. A 20-year-old female was hospitalized with a suspected case of pneumonia. She also had a sore throat and fever. To combat the suspected infection, she was given several different courses of antibiotics. During the morning rounds, the physician noted that edema and an elevated blood pressure. Dipstick: Microscopic: WBC 0-3 WBCs/hpf; hyaline 1-2casts/lpf, 1-3 granular casts/lpf, 0-1 hgb casts/lpf, Few squamous epis/hpf Color Red Clarity Cloudy SG 1.028 Casts: pH 6.0 Protein 2+ Glucose Negative Ketones Negative Bilirubin Negative...
David, a 43-year-old man, arrived at the emergency room with hematuria and pain. He reported a...
David, a 43-year-old man, arrived at the emergency room with hematuria and pain. He reported a history of kidney stones going back to when he was sixteen. His doctor at that time had told him it was a metabolic disorder. A routine urinalysis and kidney stone analysis were ordered. Color Amber Clarity Clear Bilirubin Negative Nitrite Negative Blood 4+ pH 7.0 Glucose Negative Total Protein 2+ Ketones Negative Specific Gravity 1.010 Leukocytes 1+ Urobilinogen 2 mg/dL Microscopic >100 RBC/HPF >100...
Case #3 • A 80 years-old female diabetic patient with a fracture in hip has been...
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 Pale yellow Bilirubin negative Color Appearance Sp. Gravity Blood Urobilinogen Nitrite leukocyte moderate normal negative hazy...
URINALYSIS CASE STUDY A 35 year-old women enters the ER with a 101.5°F temperature and pain...
URINALYSIS CASE STUDY A 35 year-old women enters the ER with a 101.5°F temperature and pain in in her flanks. In the initial interview, the patient reveals she has been urinating more frequently but with only minor discomfort. A midstream clean catch urine is collected and the routine UA and culture performed:What are the abnormal findings in this urinalysis that may point to a disease? Urinalysis Testing Examination Parameters Result Physical Color yellow Clarity cloudy Chemical Specific...
Case A urine specimen is collected from a 7-year-old girl with a history of several recent...
Case
A urine specimen is collected from a
7-year-old girl with a history of several recent infections. She is
seen because of lethargy, pallor, and facial edema and is found to
have generalized edema. The urine specimen is pale but noticeably
foamy.
Urinalysis Results:
Physical Appearance:
color:
pale
transparency:
hazy
foam:
Chemical Screening:
large quantity, white
pH:
6
specific gravity:
1.010
protein (strip)
>2000 mg/dL protein (SSA) 4+
blood
negative
nitrite
negative
leukocyte esterase
negative
glucose
negative
ketones
negative
bilirubin...
A 35 year-old women enters the ER with a 101.5°F temperature and pain in in her...
A 35 year-old women enters the ER with a 101.5°F temperature and pain in in her flanks. In the initial interview, the patient reveals she has been urinating more frequently but with only minor discomfort. A midstream clean catch urine is collected and the routine UA and culture performed:What are the abnormal findings in this urinalysis that may point to a disease? Urinalysis Testing Examination Parameters Result Physical Color yellow Clarity cloudy Chemical Specific gravity 1.010 pH...
Urinalysis Case 6-2 Kate R., a high school basketball player, had been hosnitalized with a threat...
Urinalysis Case 6-2 Kate R., a high school basketball player, had been hosnitalized with a threat infection, fever, and a question of pneumonia. She had been taking some antibiotics. Her physician noted edema and elevated blood pressure. See Table 6-2 for UA results. Table 6-2 Urinalysis Kate R. Reference Range Macroscopic Color Appearance Specific gravity pH Protein Glucose Ketones Bilirubin Blood Urobilinogen Nitrite Leukocyte esterase Red Cloudy 1.028 6.0 2+ (100mg/dL) (SSA:2+) Neg Colorless to amber Clear 1.001-1.035 5-7 Neg...
Urinalysis Case 6-2 Kate R., a high school basketball player, had been hospitalized with a throat...
Urinalysis Case 6-2 Kate R., a high school basketball player, had been hospitalized with a throat infection, fever, and a question of pneumonia. She had been taking some antibiotics. Her physician noted edema and elevated blood pressure. See Table 6-2 for UA results. Table 6-2 Urinalysis Kate R. Reference Range Macroscopic Color Appearance Specific gravity Red Cloudy 1.028 Colorless to amber Clear 1.001-1.035 5-7 pH 6,0 Neg 2+ (100mg/dL) (SSA:2+) Neg Neg Neg Protein Glucose Ketones Bilirubin Blood Urobilinogen Nitrite...
Case #4 Mr. Ali, is a seriously ill 42-year-old male with a history of several episodes of microscopic hematuria in the past 20 years. Until recently the macroscopic hematuria had spontaneously reverted to a symptomatic microscopic hematuria. Significant lab results include a BUN of 80 mg/dl (N:8-23 mg/dl), serum creatinine of 4.5 mg/dl (N:0.6-1.2 mg/dl), creatinine clearance of 20 ml/min (N:107-139 ml/min), serum calcium of 8.0 mg/dl (N: 9.2-11.0 mg/dl), serum phosphate of 6.0 mg/dl (N:2.3-4.7 mg/dl), and an elevated...
Case Study #4 year-old boy has a history of several infections in the past few months. He is now very ethargic and swollen, with generalized edema. He tells his mother that his urine is very foamy when he urinates and that he feels "awful." He is seen by his pediatrician, and urinalysis is performed with the following results: Physical Appearance Color: Pale Transparency: Cloudy Chemical Screening pH: 6.0 Specific gravity: 1.010 Protein (reagent strip): >2000 mg/dL Blood: Trace Nitrite: Negative...
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 Pale yellow Bilirubin negative Color Appearance Sp. Gravity Blood Urobilinogen Nitrite leukocyte moderate normal negative hazy...
Case
A urine specimen is collected from a
7-year-old girl with a history of several recent infections. She is
seen because of lethargy, pallor, and facial edema and is found to
have generalized edema. The urine specimen is pale but noticeably
foamy.
Urinalysis Results:
Physical Appearance:
color:
pale
transparency:
hazy
foam:
Chemical Screening:
large quantity, white
pH:
6
specific gravity:
1.010
protein (strip)
>2000 mg/dL protein (SSA) 4+
blood
negative
nitrite
negative
leukocyte esterase
negative
glucose
negative
ketones
negative
bilirubin...
Urinalysis Case 6-2 Kate R., a high school basketball player, had been hosnitalized with a threat infection, fever, and a question of pneumonia. She had been taking some antibiotics. Her physician noted edema and elevated blood pressure. See Table 6-2 for UA results. Table 6-2 Urinalysis Kate R. Reference Range Macroscopic Color Appearance Specific gravity pH Protein Glucose Ketones Bilirubin Blood Urobilinogen Nitrite Leukocyte esterase Red Cloudy 1.028 6.0 2+ (100mg/dL) (SSA:2+) Neg Colorless to amber Clear 1.001-1.035 5-7 Neg...
Urinalysis Case 6-2 Kate R., a high school basketball player, had been hospitalized with a throat infection, fever, and a question of pneumonia. She had been taking some antibiotics. Her physician noted edema and elevated blood pressure. See Table 6-2 for UA results. Table 6-2 Urinalysis Kate R. Reference Range Macroscopic Color Appearance Specific gravity Red Cloudy 1.028 Colorless to amber Clear 1.001-1.035 5-7 pH 6,0 Neg 2+ (100mg/dL) (SSA:2+) Neg Neg Neg Protein Glucose Ketones Bilirubin Blood Urobilinogen Nitrite...
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