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
Blood 2+
Urobilinogen Normal
Nitrite Negative
Leukocyte Negative
Other results: 24 hour urine output – 400 mL; 24 hour urine total protein – 1g/24 hours; BUN – 28 mg/dL, Creatinine – 1.6 mg/dL; positive ASO titer
a.what are the abnormal findings present?
b.what is the suspected diagnosis?
c.what is the probable cause?
d. are the bun and creatinin results consistent with the dignosis? why or why not?
Homework Answers
A. Abnormal findings are :-
Urine output 400ml /24hr
BUN -28mg/ dL
Creatinine - 1.6mg/ dL
Total protein 1gm/24hour
B. Suspected of Acute kidney injury
C. Probable cause is the use of several high dose antibiotics
D. BUN and creatinine are raised due to injury to the kidney as they cannot flush out the waste . Hence creatinine and BUN raised .
Add Answer to:
1. A 20-year-old female was hospitalized with a suspected case
of pneumonia. She also had a...
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...
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...
apter 6 ALYSIS CASE 6-6 Tammy S., a 20-year-old long-distance runner, went to the University Health...
apter 6 ALYSIS CASE 6-6 Tammy S., a 20-year-old long-distance runner, went to the University Health Center for her physical following the first practice of the season. The results of her urinalysis are shown in Table 6-6. Table 6-6 URINALYSIS Reference Range Tammy S. Macroscopic Colorless to amber Amber Color Clear Appearance Specific gravity Clear 1.001-1.035 1.028 5-7 7,0 pH Neg Neg Neg Neg Trace 5-20 mg/dL (SSA: trace) Protein Neg Neg Neg Glucose Ketones Bilirubin Neg 1+ Blood 4...
A 40-year-old female tennis player with tendonitis is taking large doses of an over-the-counter nonsteroidal anti-inflammatory...
A 40-year-old female tennis player with tendonitis is taking large doses of an over-the-counter nonsteroidal anti-inflammatory agent. After taking the medication for several weeks, she develops a skin rash and observes a decrease in urine volume. Results of her urinalysis are: Color: Dark yellow Clarity: Cloudy Protein: 3+ Blood: Large Glucose: Negative Urobilinogen: 1.0 EU Specific gravity: 1.011 Ketones: Negative Nitrite: Negative pH: 6.0 Bilirubin: Negative Leukocyte esterase: 2+ Microscopic >100 WBCs/hpf 1–2 hyaline casts/lpf 60–70 RBCs/hpf 5–6 WBC casts/lpf...
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...
232 Chaper 6 Tmmy S.a 20-year-old long-distance runner, went to the University Health Center for her...
232 Chaper 6 Tmmy S.a 20-year-old long-distance runner, went to the University Health Center for her physical following the first practice of the season. The results of ber urinalysis are shown in Table 6-6 URINALYSIS CASE 6-6 URINALYSIS Table 6-6 Reference Range Tammy S Macrescápic Coleriess to amber Amber Color Clear Clear Appearance Specific gravity pH 1.001-1.035 1.028 5-7 7,0 Neg Neg Neg Neg Neg Normal Trace 5-20 mg/dL (SSA: trace) Prosein Neg Glucose Neg Neg Ketones Bilirubin 1+ Blood...
232 Chapter 6 URINALYSIS CASE 6-6 Tammy S., a 20-year-old long-distance runner, went to the University...
232 Chapter 6 URINALYSIS CASE 6-6 Tammy S., a 20-year-old long-distance runner, went to the University Health Center for her physical following the first practice of the season. The results of her urinalysis are shown in Table 6-6 Table 6-6 URINALYSIS Reference Range Tammy S. Macroscópic Color Colorless to amber Clear Amber Clear Appearance Specific gravity pH 1.001-1.035 1.028 5-7 7.0 Neg Neg Neg Neg Trace 5-20 mg/dL (SSA: trace) Protein Neg Neg Glucose Ketones Neg Bilirubin Neg Normal Blood...
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...
Urinalysis Case 6-5 Sean F., a 25-year-old man, was brought to the emergency room with severe...
Urinalysis Case 6-5 Sean F., a 25-year-old man, was brought to the emergency room with severe crush injuries sustained in a car accident. He had a broken pelvis and right femur and numerous abrasions and contusions. A routine urinalysis was ordered as part of the regular preoperative blood work. (sce Table 6-5). Table 6-5 Urinalysis and Chemistry Urinalysis Sean F. Reference Range Macroscopic Color Appearance Specific gravity Brown Clear Colorless to amber Clear 1.001-1.035 5-7 1.013 6.0 pH Nes Protein...
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...
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...
apter 6 ALYSIS CASE 6-6 Tammy S., a 20-year-old long-distance runner, went to the University Health Center for her physical following the first practice of the season. The results of her urinalysis are shown in Table 6-6. Table 6-6 URINALYSIS Reference Range Tammy S. Macroscopic Colorless to amber Amber Color Clear Appearance Specific gravity Clear 1.001-1.035 1.028 5-7 7,0 pH Neg Neg Neg Neg Trace 5-20 mg/dL (SSA: trace) Protein Neg Neg Neg Glucose Ketones Bilirubin Neg 1+ Blood 4...
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...
232 Chaper 6 Tmmy S.a 20-year-old long-distance runner, went to the University Health Center for her physical following the first practice of the season. The results of ber urinalysis are shown in Table 6-6 URINALYSIS CASE 6-6 URINALYSIS Table 6-6 Reference Range Tammy S Macrescápic Coleriess to amber Amber Color Clear Clear Appearance Specific gravity pH 1.001-1.035 1.028 5-7 7,0 Neg Neg Neg Neg Neg Normal Trace 5-20 mg/dL (SSA: trace) Prosein Neg Glucose Neg Neg Ketones Bilirubin 1+ Blood...
232 Chapter 6 URINALYSIS CASE 6-6 Tammy S., a 20-year-old long-distance runner, went to the University Health Center for her physical following the first practice of the season. The results of her urinalysis are shown in Table 6-6 Table 6-6 URINALYSIS Reference Range Tammy S. Macroscópic Color Colorless to amber Clear Amber Clear Appearance Specific gravity pH 1.001-1.035 1.028 5-7 7.0 Neg Neg Neg Neg Trace 5-20 mg/dL (SSA: trace) Protein Neg Neg Glucose Ketones Neg Bilirubin Neg Normal Blood...
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...
Urinalysis Case 6-5 Sean F., a 25-year-old man, was brought to the emergency room with severe crush injuries sustained in a car accident. He had a broken pelvis and right femur and numerous abrasions and contusions. A routine urinalysis was ordered as part of the regular preoperative blood work. (sce Table 6-5). Table 6-5 Urinalysis and Chemistry Urinalysis Sean F. Reference Range Macroscopic Color Appearance Specific gravity Brown Clear Colorless to amber Clear 1.001-1.035 5-7 1.013 6.0 pH Nes Protein...
Most questions answered within 3 hours.
-
Where is the error in this code sequence?
String s1 = "Hello";
String s2 = "ello";...
asked 11 months ago -
Financial data for Joel de Paris, Inc., for last year
follow:
Joel de Paris, Inc.
Balance...
asked 11 months ago -
Consider this reaction:
Al2(SO4)3 (aq)+ BaCl3
(aq) Al2Cl6 (aq)- +
3BaSO4(s) . What is the...
asked 11 months ago -
Suppose that Savneet is considering increasing her
recent random sample from 20 car rentals to 40...
asked 11 months ago -
Trucks arrive at an unloading terminal at an average rate of 120
per hour.
Trucks arrive...
asked 11 months ago -
Why are methanol and ethanol completely soluble in water while
octanol is not very little soluble....
asked 11 months ago -
A facilities manager at a university reads in a research report
that the mean amount of...
asked 11 months ago -
When the CuSO4 is rehydrated by adding water to the anhydrous
compound, is this an endothermic...
asked 11 months ago -
A ray of sunlight is passing from diamond into crown glass; the
angle of incidence is...
asked 11 months ago -
A block of mass 0.249 kg is placed on top of a light, vertical
spring of...
asked 11 months ago -
how do the kidneys compensate in the presences of acidosis
a) trigger hyperventilate
b) reserve acid...
asked 11 months ago -
Question 501 pts
The rental rate of capital to the firm increases. Which of the
following...
asked 11 months ago