Question

A 60-year-old woman came to her physician because she was having problems with urination. Her previ- ous history included hypertension and episodes of edema. The physician ordered various laboratory tests on blood drawn in his office. The results are shown in Case Study Table 15-4.1. CASE STUDY TABLE 15-4.1 LABORATORY RESULTS REFERENCE PATIENT ANALYTE VALUES RANGE Na 135-143 mmol/L 149 4.5 3.0-5.0 mmol/L CI 98-103 mmol/L 120 CO2 content 12 22-27 mmol/ Total protein 5.7 6.5-8.0 g/dL. Albumin 2.3 3.5-5.0 g/dL. Ca 7.6 9.0-10.5 mg/dL Cholesterol 201 140-200 mg/dL Uric acid 15.4. 3.5-7.9 mg/dL Creatinine 4.5 0.5-1.2 mg/dL BUN 87 7-25 mg/dL. Glucose 88 75-105 mg/dL. Total bilirubin 1.3 0.2-1.0 mg/dL Triglycerides 327 65-157 mg/dL Lactate 200 90-190 IU/L dehydrogenase Aspartate 8-40 IU/L, transaminase Amylase 380 76-375 IU/L Questions 1. What are the abnormal results in this case? 2. why do you think the triglycerides are abnormal? 3. What is the primary disease exhibited by this patients laboratory data?
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Answer #1

1. The abnormal amount of BUN present in urine, is not good. BUN is blood urea nitrogen and such high BUN is indication of kidney damage.

2. Because of kidney damage, the triglycerides levels are also high. Similarly uric acid is also deviate from normal. All these symptoms are nephrotic syndrome which are results of kidney damage damage.

3. The most primary disease associated with these results are Kinsey failure.

High BUN level are associated with other disease also like cognitive heart attack, but high levels of triglycerides and uric acid and protein is indication of kidney faliure.

Hope this helps :) please hit like :)

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