A 10-year-old girl had a routine urinalysis during her school's routine medical examination. The urinalysis results are as follows: PHYSICAL EXAMINATION Color: Yellow Appearance: Cloudy CHEMICAL EXAMINATION Glucose: Negative Bilirubin: Negative Ketone: Negative Specific gravity: 1.025 Blood: Negative pH: 7.5 Protein: Trace Urobilinogen: 0.2 mg/dL Nitrite: Positive Leukocyte esterase: Large MICROSCOPIC EXAMINATION RBC: 0-2/hpf WBC: 20-30/hpf Squamous epithelial cells: 0-5/lpf Bacteria: Many /hpf Hyaline cast: 2-5/lpf 1. What is the most probable diagnosis for this patient? 2. Support your answer in the previous question. Briefly explain how you came up with the diagnosis. Indicate also the findings which are MOST helpful in classifying the patient's condition. 3. Based on your findings, what follow up testing should be done on this urine sample? A Briefly explain the etiology of this condition

A 10-year-old girl had a routine urinalysis during her school's routine medical examination. The urinalysis results are as follows: PHYSICAL EXAMINATION Color: Yellow Appearance: Cloudy CHEMICAL EXAMINATION Glucose: Negative Bilirubin: Negative Ketone: Negative Specific gravity: 1.025 Blood: Negative pH: 7.5 Protein: Trace Urobilinogen: 0.2 mg/dL Nitrite: Positive Leukocyte esterase: Large MICROSCOPIC EXAMINATION RBC: 0-2/hpf WBC: 20-30/hpf Squamous epithelial cells: 0-5/lpf Bacteria: Many /hpf Hyaline cast: 2-5/lpf 1. What is the most probable diagnosis for this patient? 2. Support your answer in the previous question. Briefly explain how you came up with the diagnosis. Indicate also the findings which are MOST helpful in classifying the patient's condition. 3. Based on your findings, what follow up testing should be done on this urine sample? A Briefly explain the etiology of this condition

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)

6th Edition

ISBN:9781305964792

Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Chapter41: Urinalysis

Section: Chapter Questions

Problem 2CR

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Following surgery to correct a massive hemorrhage, a 55-year-old patient exhibits oliguria and edema. Blood test results indicate increasing azotemia and electrolyte imbalance. The glomerular filtration rate is 20 mL/min. Urinalysis results are as follows: COLOR: Yellow KETONES: Negative CLARITY: Cloudy BLOOD: Moderate GRAVITY: 1.010 BILIRUBIN: Negative pH: 7.0 UROBILINOGEN: Normal PROTEIN: 3+ NITRITE: Negative GLUCOSE: 2+ LEUKOCYTE: Negative Microscopic: 50–60 RBCs/hpf 2–3 granular casts/lpf 3–6 WBCs/hpf 2–3 RTE cell casts/lpf 3–4 RTE cells/hpf 0–1 waxy casts/lpf 0–1 broad granular casts/lpf What diagnosis do the patient’s history and laboratory results suggest? What is the most probable cause of the patient’s disorder? Is this considered to be of prerenal, renal, or postrenal origin?
In which of the following conditions is urinary urobilinogen absent? 1) Biliary obstruction 2) Viral hepititus 3) Hemolytic anemia 4) Cirrhosis of the liver no references, just homework
Paul is a 23-year-old. He was the victim of a hit-and-run auto-pedestrian accident and suffered multiple abrasions, a concussion, and a deep laceration of his left thigh. He was discovered approximately 2 hours after the incident and is now in the emergency department. Paul’s vital signs and hematocrit suggest that he has had a blood loss of about 2,500 ml. A urinary catheter is inserted to monitor urine output, and fluid resuscitation is initiated while his wounds are cleaned and sutured. The urine output is averaging 15 ml/hr, with a high urine osmolality and low urine sodium. Discussion Questions1. What type of renal failure is Paul likely developing? What data support this conclusion?2. Without adequate therapy, what may develop? Why? What is the best therapy for preventing this from occurring?3. In addition to urine output, what laboratory data should be monitored to assess changes in Paul’s renal function
Paul is a 23-year-old. He was the victim of a hit-and-run auto-pedestrian accident and suffered multiple abrasions, a concussion, and a deep laceration of his left thigh. He was discovered approximately 2 hours after the incident and is now in the emergency department. Paul’s vital signs and hematocrit suggest that he has had a blood loss of about 2,500 ml. A urinary catheter is inserted to monitor urine output, and fluid resuscitation is initiated while his wounds are cleaned and sutured. The urine output is averaging 15 ml/hr, with a high urine osmolality and low urine sodium. In addition to urine output, what laboratory data should be monitored to assess changes in Paul’s renal function?
Paul is a 23-year-old. He was the victim of a hit-and-run auto-pedestrian accident and suffered multiple abrasions, a concussion, and a deep laceration of his left thigh. He was discovered approximately 2 hours after the incident and is now in the emergency department. Paul’s vital signs and hematocrit suggest that he has had a blood loss of about 2,500 ml. A urinary catheter is inserted to monitor urine output, and fluid resuscitation is initiated while his wounds are cleaned and sutured. The urine output is averaging 15 ml/hr, with a high urine osmolality and low urine sodium. Without adequate therapy, what may develop? Why? What is the best therapy for preventing this from occurring?
Urinalysis demonstration [Video]. YouTube. Available at https://youtu.be/H0-EMmG3arc Answer the following questions: a. What happens with untreated UTI’s? b. What complications are there, if any, from only using herbal treatments? c. What percentage of males vs. females suffer from UTI’s?
For each of the following urinalysis results, indicate whether you should be concerned or not and why: (a) dark yellow urine that is turbid; (b) ammonia- like odor of the urine; (c) presence of excessive albumin; (d) presence of epi- thelial cell casts; (e) pH of 5.5; (f) hematuria.
Urinary casts are classified as cellular or acellular (e.g., hyaline, waxy, fatty, red or white blood cell casts).What is the component common to all casts?
A urinalysis is a test that examines physical, chemical and microscopic aspects of urine. Examining urinary fluid can reveal much about the functioning of the body, as changes from the normal characteristics or appearance may reflect specific diseases. Currently, commercially-available chemical reagent sticks can be used to detect substances in urine. Of the following, which are substances that reagent sticks can test for? a. Substances produced by the body, and naturally found in urine. b. Substances produced by the body, but not usually present in urine. c. Substances not normally found in the body. d. a. and c. only e. a., b., and c.
List five (5) changes that may take place in a urine specimen that remains at room temperature for more than 2 hours.
Urine-specific gravity is a measure of the concentration of solutes in the urine. It measures the ratio of urine density compared with the water density and provides information on the kidney’s ability to concentrate urine. A urinary-specific gravity measurement is a routine of urinalysis. The normal reference range is 1.005 to 1.030. Andrea, Oliver, and Jerome filled a 28.50-gram pycnometer. When filled full of water, it weighs 53.50 grams, and when filled with their urine sample, it weighs 54.64 grams (Andrea), 53.57 grams (Oliver), and 53.91 grams (Jerome), respectively. EVALUATE THE STATEMENT. (I) Andrea’s urine sample has a specific gravity of 1.0046, while (II) Oliver’s is 1.0028. I is true, II is false. I is false, II is true. Both I and II are true. Both I and II are false.
Domingo is hypertensive and was recently diagnosed with impaired kidney function based on urinalysis and a blood test for creatinine. What sorts of test results would you expect, and how is hypertension related to kidney function?