A 5-year-old female has a history of previous lower UTIS. She suddenly becomes very ill and develops rust-colored urine, burning, back pain, and fever. The physician orders a BUN, creatinine, urinalysis, and a urine culture and sensitivity. Her results are below: Increased BUN, Increased Creatinine Dipstick: 2+ protein, 1+ blood, 4+ leukocyte esterase, 4+ nitrate. Other dipstick tests are negative or normal. Microscopic examination: WBCs 25-50/HPF RBCs 5-10/HPF. hyaline cast 0-1/LPF many bacteria. a. What is this patient's condition? WBC casts 5-10/LPF Urine culture: 100,000 colonies/ mL of E. coli, sensitivity pending b. What dipstick findings and what microscopic findings support this decision?
A 5-year-old female has a history of previous lower UTIS. She suddenly becomes very ill and develops rust-colored urine, burning, back pain, and fever. The physician orders a BUN, creatinine, urinalysis, and a urine culture and sensitivity. Her results are below:
Increased BUN, Increased Creatinine Dipstick: 2+ protein, 1+ blood, 4+ leukocyte esterase, 4+ nitrate. Other dipstick tests are negative or normal.
Microscopic examination: WBCs 25-50/HPF
RBCs 5-10/HPF.
hyaline cast 0-1/LPF many bacteria.
a. What is this patient's condition?
WBC casts 5-10/LPF Urine culture: 100,000 colonies/ mL of E. coli, sensitivity pending
b. What dipstick findings and what microscopic findings support this decision?
c. Is the patient's history significant?
d. If the child were taking vitamins and extra vitamin C, could this interfere with the test results?
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