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Color Appearance Sp. Gravity UA report#1 Amber Bilirubin hazy Blood 1.015 Urobilinogen 6.5 Nitrite trace leukocyte...
Emma, a medical laboratory technician is reviewing the following urinalysis report before she releases it to...
Emma, a medical laboratory technician is reviewing the following urinalysis report before she releases it to the physician. Routine Urinalysis COLOR Yellow CLARITY: Slightly Cloudy SP. GRAVITY: 1.015 PH: 7.0 BILIRUBIN: Negative KETONES: Negative BLOOD: Negative PROTEIN: Negative UROBILINOGEN 0.2 EU NITRITE: Negative GLUCOSE: Negative LEUKOCYTE Negative Microscopic 0-1 WBC/HPF 25-30 RBC/HPF Rare squamous epithelial cell Negative for bacteria and casts In your discussion post, discuss the correlation between the chemical and microscopic exam. Some items to include in your...
The patient has red spots on the skin resembling a red rash. Color: Red Clarity: Cloudy Protein: 2+ Blood: Large Glucose...
The patient has red spots on the skin resembling a red rash. Color: Red Clarity: Cloudy Protein: 2+ Blood: Large Glucose: Negative Urobilinogen: 0.2 EU Specific gravity: 1.017 Ketones: Negative Nitrite: Negative pH: 6.0 Bilirubin: Negative Leukocyte esterase: Trace Microscopic 6–8 WBCs/hpf 1–3 hyaline casts/lpf >100 RBCs/hpf 2–4 RBC casts/lpf What is the most probable diagnosis? A. Henoch-Schonlein purpura B. Minimal change disease C. Wegener's granulomatosus D. Goodpasture syndrome
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...
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...
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...
12:16 PM Sun Apr 7 a edisonohio blackboard.com QUESTION 15 CASE 4 A female patient arrives...
12:16 PM Sun Apr 7 a edisonohio blackboard.com QUESTION 15 CASE 4 A female patient arrives at the outpatient clinic with symptoms of lower back pain and urinary frequency burning sensation. She is a firm believer in the curative powers of vitamins. She has tripled her usual dosage of vitamins in an effort to alleviate her symptoms; however, the symptoms have persisted. She is sterile container and asked to collect a midstream clean catch urine specimen. Results of this urinalysis...
The following results are obtained from a urinalysis on a patient who developed membranous glomerulonephritis following...
The following results are obtained from a urinalysis on a patient who developed membranous glomerulonephritis following hepatitis B infection: Color: Yellow Clarity: Cloudy Protein: 4+ Blood: Moderate Glucose: Negative Urobilinogen: 1.0 EU Specific gravity: 1.012 Ketones: Negative Nitrite: Negative pH: 6.0 Bilirubin: Negative Leukocyte esterase: Negative Microscopic 2–3 WBCs/hpf 1–2 oval fat bodies/hpf 20–30 RBCs/hpf 2–3 fatty casts/lpf Moderate fat droplets What is/are the primary structure(s) in the glomerulus that has/have been affected to cause these results? A. Endothelial cells...
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 #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 #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...
12:16 PM Sun Apr 7 a edisonohio blackboard.com QUESTION 15 CASE 4 A female patient arrives at the outpatient clinic with symptoms of lower back pain and urinary frequency burning sensation. She is a firm believer in the curative powers of vitamins. She has tripled her usual dosage of vitamins in an effort to alleviate her symptoms; however, the symptoms have persisted. She is sterile container and asked to collect a midstream clean catch urine specimen. Results of this urinalysis...
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 #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...
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