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A 4-year-old girl was brought to the emergency room by her parents. They suspect that she might have ingested something while she was playing in the garage. The doctor ordered urinalysis and the results are as follows: PHYSICAL EXAMINATION Color: Yellow Clarity: Cloudy CHEMICAL EXAMINATION pH: 6.0 Specific gravity: 1.015 Glucose: Negative Protein: 30 mg/dl Blood: Trace Nitrite: Negative Ketones: Negative Bilirubin: Negative Leukocyte esterase: Negative Urobilinogen: 0.2 mg/dl MICROSCOPIC EXAMINATION RBC/hpf: 0-2 WBC/hpf: None a. Acute glomerulonephritis b. Acute tubular necrosis c. Urinary tract infection d. Renal calculi Epithelial cells: Squamous/lpf: None Transitional/hpf: None Renal tubular/hpf: 0-2 Bacteria/hpf: None Casts/lpf: 0-2 Hyaline 0-2 Granular Crystals: 2 distinct forms seen Amorphous material: Few 1. Based on the patient's history and urinalysis results, select the most probable diagnosis and support your answer. 2. Briefly explain how you came up with the diagnosis. 3. What is the most probable liquid/solution ingested by the patient? 4. What type of crystals would you expect to be present in this patient's sampl

A 4-year-old girl was brought to the emergency room by her parents. They suspect that she might have ingested something while she was playing in the garage. The doctor ordered urinalysis and the results are as follows: PHYSICAL EXAMINATION Color: Yellow Clarity: Cloudy CHEMICAL EXAMINATION pH: 6.0 Specific gravity: 1.015 Glucose: Negative Protein: 30 mg/dl Blood: Trace Nitrite: Negative Ketones: Negative Bilirubin: Negative Leukocyte esterase: Negative Urobilinogen: 0.2 mg/dl MICROSCOPIC EXAMINATION RBC/hpf: 0-2 WBC/hpf: None a. Acute glomerulonephritis b. Acute tubular necrosis c. Urinary tract infection d. Renal calculi Epithelial cells: Squamous/lpf: None Transitional/hpf: None Renal tubular/hpf: 0-2 Bacteria/hpf: None Casts/lpf: 0-2 Hyaline 0-2 Granular Crystals: 2 distinct forms seen Amorphous material: Few 1. Based on the patient's history and urinalysis results, select the most probable diagnosis and support your answer. 2. Briefly explain how you came up with the diagnosis. 3. What is the most probable liquid/solution ingested by the patient? 4. What type of crystals would you expect to be present in this patient's sampl

Human Anatomy & Physiology (11th Edition)
Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
Section: Chapter Questions
Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...
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A 4-year-old girl was brought to the emergency room by her parents. They suspect that she might have ingested something while she was playing in the garage. The doctor ordered urinalysis and the results are as follows: PHYSICAL EXAMINATION Color: Yellow Clarity: Cloudy CHEMICAL EXAMINATION pH: 6.0 Specific gravity: 1.015 Glucose: Negative Protein: 30 mg/dl Blood: Trace Nitrite: Negative c. Urinary tract infection d. Renal calculi Ketones: Negative Bilirubin: Negative Leukocyte esterase: Negative Urobilinogen: 0.2 mg/dl a. Acute glomerulonephritis b. Acute tubular necrosis MICROSCOPIC EXAMINATION RBC/hpf: 0-2 WBC/hpf: None Epithelial cells: Squamous/lpf: None Transitional/hpf: None Renal tubular/hpf: 0-2 Bacteria/hpf: None Casts/lpf: 0-2 Hyaline 0-2 Granular 1. Based on the patient's history and urinalysis results, select the most probable diagnosis and support your answer. Crystals: 2 distinct forms seen Amorphous material: Few 2. Briefly explain how you came up with the diagnosis. 3. What is the most probable liquid/solution ingested by the patient? 4. What type of crystals would you expect to be present in this patient's sampl
Transcribed Image Text:A 4-year-old girl was brought to the emergency room by her parents. They suspect that she might have ingested something while she was playing in the garage. The doctor ordered urinalysis and the results are as follows: PHYSICAL EXAMINATION Color: Yellow Clarity: Cloudy CHEMICAL EXAMINATION pH: 6.0 Specific gravity: 1.015 Glucose: Negative Protein: 30 mg/dl Blood: Trace Nitrite: Negative c. Urinary tract infection d. Renal calculi Ketones: Negative Bilirubin: Negative Leukocyte esterase: Negative Urobilinogen: 0.2 mg/dl a. Acute glomerulonephritis b. Acute tubular necrosis MICROSCOPIC EXAMINATION RBC/hpf: 0-2 WBC/hpf: None Epithelial cells: Squamous/lpf: None Transitional/hpf: None Renal tubular/hpf: 0-2 Bacteria/hpf: None Casts/lpf: 0-2 Hyaline 0-2 Granular 1. Based on the patient's history and urinalysis results, select the most probable diagnosis and support your answer. Crystals: 2 distinct forms seen Amorphous material: Few 2. Briefly explain how you came up with the diagnosis. 3. What is the most probable liquid/solution ingested by the patient? 4. What type of crystals would you expect to be present in this patient's sampl
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