Given the following urinalysis results, which of the following is the MOST likely diagnosis? Color: Yellow. Appearance: Cloudy. Sp Gr: 1.027. pH = 5.5 Protein:1+. Glucose: Negative Ketones: Negative Blood: Trace Bilirubin: Negative Urobilinogen: Normal Nitrite: Positive Leukocyte esterase: Positive Microscopic exam revealed the presence of rare RBC, many WBC, and many bacteria per high O a. Acute Hepatitis O b. Acute Glomerulonephritis O. Urinary tract infection od. Diabetes Mellitus
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- 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?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? Briefly explain the etiology of this condition. 4.Give the instructions for preparing a two-fold serial dilution of serum from 0.5 mL serum and using 0.5mL saline in each of five numbered tubes
- Prescribed: Mesna 2,500 mg in 125 mL Normal Saline by IV to infuse at 250 mL/hr. On hand: vial containing Mesna 100mg/mL. How many mL of Mesna should be added to the 125 mL IV bag of D5W to prepare this IV infusion?Yasuo Yamagata, a 63-year-old, experienced severe back pain for several weeks before visiting his family physician. He also complained of fatigue and looked pale. Blood analysis revealed a red blood cell count of 3.2 × 106/μl (normal 4.2–5.0 × 106/μl), a white blood cell count of 2800/μl (normal 5000/μl), a sedimentation rate of 30 mm/h (normal <20 mm/h) and a serum IgG of 4500 mg/dl (normal 600–1500 mg/dl). IgA and IgM levels were well below normal. Skeletal survey showed lytic lesions in vertebrae, ribs and skull. A bone marrow sample revealed 75% infiltration with plasma cells. Elevated protein in urine was confirmed to be Bence-Jones protein (immunoglobulin light chains). The patient was diagnosed with IgG λ multiple myeloma and began an immediate chemotherapy regime. Which of the following would be consistent with this type of malignant tumor of plasma cells? a. Serum IgG is polyclonal. b. Anemia and neutropenia are present as the result of plasma-cell infiltration in the…99. Which among the following indications is true with regards to the patient's urinalysis result? Color: Reddish-brown Clarity: Hazy Specific gravity: 1.015 pH: 6.0 Leukocytes: Negative Nitrite: Negative Urobilin: Negative Protein: 2+ Blood: 4+ RBC: 0 – 1 Ketone: Negative WBC: 0 – 1 Bilirubin: 4+ EC: 5 - 10 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
- 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…Why is the Erythrocyte Sedimentation Rate ineffective in patients with severe anemia? Identify an appropriate sedimentation test that could be performed alternatively.Renal Case Study A 26-year-old felt puffy, weak, and tired for several months. She suddenly noticed her urine had a red to brown discoloration and the volume was minimal. She went to the emergency room of a nearby hospital and the following data were obtained upon examination and testing: Hematology: Serum sodium 125 mEq/L Serum potassium 6 mEq/L Serum creatinine 2.6 mg/dL BUN 24.0 mg/dL pH (arterial) 7.32 Hematocrit 25% Urinalysis: Appearance Red to brown Specific gravity 1.025 Blood Positive Glucose Negative Protein Trace Renal Function Tests: GFR (glomerular filtration rate) 40 mL/min RBF (renal blood flow) 280 mL/min What is the disorder of this individual? What condition(s) predispose an individual to this disorder? Define hyponatremia and hyperkalemia. What is the cause of the hyponatremia in this patient? Why is there blood in the urine? How do the renal function tests for this…
- A 25-years-old female was admitted to the hospital. She is married, according to her history she gave birth to baby girl 3 months ago and patient was pale and she complaint about breathlessness .Doctors think that she has anemia and performed some lab tests to confirm the diagnosis.Following is a list of laboratory report values for her diagnosis.i. Mean corpuscular volume: Normalii. Serum ferritin: <11 µg/Liii. Transferrin saturation: < 14%iv. Free erythrocyte protoporphyrin: >80 µg/dL erythrocytev. Hemoglobin concentration: <120 g/LAnswer the following question based on the above lab reports.a. Which of the above laboratory test report support the diagnosis of anemia and why? Explain in detail. b. Which of the above laboratory test report do not support the diagnosis of anemia and why? Explain in detail. c. Explain why hemoglobin is not a good indicator of early stage of Iron deficiency? .Rx6 Order : Zithromax 500 mg daily per feeding tube Supply : Zithromax syrup 100mg/5mL suspension How many mL should be dispensed to the patient?Doctor's order says: Infuse 300 mL of Penicillin 5M units to infuse over 40 minutes.Drop factor: 20 gtts/mL. Calculate the flow rate in drops per minutes. Show thecomputation. Final answer to the nearest whole number.