99. Which among the following indications is true with regards to the patient's urinalysis result? Color: Reddish-brown Leukocytes: Negative Nitrite: Negative Clarity: Hazy Specific gravity: 1.015 pH: 6.0 Urobilin: Negative Protein: 2+ Blood: 4+ RBC: 0 - 1 Ketone: Negative WBC: 0 - 1 EC: 5 - 10 Bilirubin: 4+ Glucose: 1+ Bacteria: Absent The patient is suffering from a urinary tract infection The patient is suffering from liver damage The patient is at risk of diabetes The patient is at risk of renal failure
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- What is the patient's creatinine clearance given the following data? Serum creatinine 0.6 mg/dL Urine creatinine 102 mg/dL 24 hr urine volume 1650 mL Patient's BSA 1.93 m2 1) 195 mL/min 2) 130 mg/dL 3) 93 mL/min 4) 175 mL/min no references, just homeworkWhich among the following indications is true with regards to the patient's urinalysis result?A person is brought to the emergency department in a comatose state. The following test results were obtained Blood sugar: 450mg% Urine albumin: Present Urine Sugar: Orange precipitate Urine Ketone bodies: Positive Plasma pH:7.14 ( Normal:7.4) Bicarbonate: Decreased What is your probable diagnosis? What are the further investigations to be done in this patient? Explain the rationale behind each test?
- In reviewing the patient’s current information, a concern exists that acute kidney injury has developed. Select to highlight the laboratory information that would support this concern.UrinalysisCasts - +++Cola-color to urineProteinuriaBlood ValuesRBC - 3.9 cells/L (4.0-4.9 cells/L)Hgb 10 g/dL (12-16 g/dL)Hct-40% (37%-48%)WBC 11.0 cells/L (4.0-10.0 cells/L)Platelets - 140 cells/L (150-450 cells/L)Sodium - 140 mEq/L (135-145 mEq/L)Potassium - 4.5 mEq/L (3.5-5.2 mEq/L)BUN - 32 mg/dL (5-20 mg/dL)Creatinine 1.8 mg/dL (0.5-1.5 mg/dL)Blood Glucose - 180 mg/dL (nonfasting) (<200 mg/dL)AST-40 Units/mL (5-40 Units/mL)ALT - 30 Units/mL (5-35 Units/mL)Bilirubin (total)- 0.8 mg/dL (<1.0 mg/dL)Albumin - 4.0 (3.5-5.5 g/dL)PT-22 (11.5-14 seconds)An 85 year old women with a history of diabetes mellitus and a broken hip has been confined to bed for 3 months. She has been complaining of aching muscles and her recent blood glucose result is 250mg/dL (Normal Range 70 - 100mg/dL) Urinalysis is with the following results: Color: Reddish brown Appearance: Clear Sp Gr: 1.020, pн 5.0 Protein: 2+ Glucose: 100 mg/dL (3+) Ketones: Negative Blood: Moderate Bilirubin: Negative Urobilinogen: Normal Nitrite: Negative Leukocyte esterase: Negative Microscopic exam: 0 – 2 WBC/hpf; few squamous epithelial cells/hpf Questions (3): A. What is the significance of the negative Ketones result? a. Increased fat metabolism b. Fat is not being metabolized for energy c. Starvation d. Patient has just consumed a high fat meal B. Glucose will appear in the urine when the: a. Blood level of glucose is greater than 180 mg/dL b. Tm (Transport maximum) for glucose in tubular cells is exceeded c. Renal threshold for glucose is exceeded d. All of the above C. The…Give the clinical significance of detecting the following_parameters in urine Parameter Clinical significance pH Protein Glucose Ketones Blood Bilirubin Urobilinogen Nitrite Leukocyte esterase Specific Gravity
- A 68-year old woman presents with hypertension and oliguria. A CT of the abdomen reveals a hypoplastic left kidney. based on the following laboratory data which of the following is her estimated RPF? Renal artery p-amino hippuric acid (PAH) = 6mg/dL Renal vein PAH = 0.6mg/dL urinary PAH = 25mg/mL urine flow= 1.5mL/min hematocrit = 40%George’s urinalysis results: Colour Amber and cloudy Specific gravity 1.040 pH 6 Glucose Nil Ketones Nil Blood Trace Protein Nil Nitrates Trace Leukocyte Positive Bilirubin Negative Question 2b. Process information (interpret and predict). Given the cues provided above, what deduction/s can you make at this point? Provide a justification for responseA 2-year-old child, admitted to hospital following diarrhoea and vomiting, had the fol- lowing results on analysis of plasma, 24 hours after admission (reference ranges are given in brackets): Sodium (135-145) Potassium (3.5-5.0) Urea (3.5-6.6) Creatinine (70-150) Osmolality (285-305) The urine sodium concentration was 55 mmol/L and its osmolality was 314 mOsm/kg. Comment on these results. 151 mmol/L 3.7 mmol/L 4.9 mmol/L 65 μmol/L 314 mOsm/kg
- Hematology Data: 24 hour urine volume: 1,000 mL; Serum Creatinine: 2.0 mg/dL; Urine Creatinine: 200 mg/dL What's the calculation for the Creatinine clearance? Please show steps, thank you!1: Hem 101 of 145 ell 101. A 25-year-old man has drunk 2000 mL of water over the past 4 hours. For the past hour, he has fet the need to urinate but has a de the following? Exam S A) Inhibition of parasympathetic spinal cord neurons OB) Inhibition of somatic motoneurons of the external urethral sphincter OC) Inhibition of sympathetic neurons of the internal urethral sphincter OD) Stimulation of descending sympathetic pathways to the internal urethral sphincter OE) Stimulation of parasympathetic spinal cord neuronsA 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? Briefly explain the etiology of this condition. 4.