Make a conclusion on the analysis Analysis of urine: Daily diuresis - 2.5 liters Specific gravity - 1,018 Protein - 0,7 g/1 Glucose - no Acetone - no Microscopy of urine sediment: Erythrocytes - - 5-10 in the field of view Single hyaline cylinders Blood test: The residual nitrogen is 90 mmol / 1 (norm: 14-28 mmol / 1) Creatinine - 150 µmol/ 1 (norm: 60-120 µmol/l) Albumins - 30 g / 1 (norm: 35-50 g/1) Hemoglobin - 85 g/1
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- Make a conclusion on the analyses. Analysis of urine: Daily diuresis - 400 ml Specific gravity 1,025 Protein - no Glucose - no Acetone - no Erythrocytes (leached) - 25-40 in the field of view Leukocytes - 10-15 in the field of view Erythrocyte and hyaline cylinders - single in the field of view Blood test: - 53 mole / 1 (norm: 14-28 µmol/1) The residual nitrogen Creatinine Anti-O-Streptolysin - 145 μmol/ 1 (norm: 60-120 µmol/L) - increased Albumins - 39 g/1 (norm: 35-50 g/l) Hemoglobin - 100 g/1 Microscopy of the urine sediment: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 GravityDescription for Thomas Addis:Scottish-American scientistIdentified the different types of castFirst attempt to standardize quantitation of formed elements in urine Which among the statements below is(are) CORRECT?The Rocking microtome was invented in 1881George Adams Jr was able to discover the effects of formaldehyde as a fixative Heat fixation is the best fixation method used in preserving tissuesNone of the above
- 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!The laboratory received a 24-hour urine collection from a 26-year old male (body surface area = 2.34m2), and the total urine collection volume measured 800 mL in 24 hours. After creatinine determinations were performed by the alkaline picrate method, interpret the result. Plasma creatinine: 1.2 mg/dL Urine creatinine: 150 mg/dL a. The creatinine clearance of the patient is above reference range. b. The creatinine clearance of the patient is below reference range. c. The creatinine clearance of the patient is within reference range. d. The creatinine clearance of the patient is borderline high.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)
- Determination of Creatinine in Serum and Urine Experiment; Question: Why are using this materials/chemicals in this experiment? *10% sodium tungstate *0.75 M NaOH Creatinine depot standard *0.67 N H2SO4 *Picric acid (0.04 M) Procedure: 3 mL of water, 1 mL of 10% sodium tungstate, 2 mL of 0.67 N H2SO4 are added onto the serum (2 mL), mixed well, and filtered after 5-10 minutes (protein-free serum filtrate). 3 mL of this filtrate is used for the test.All tubes are mixed, incubated at room temperature for 20 minutes and read against the reagent blank at 520 nm.First, the serum volume in the test tube is calculated.Since working with 3 mL standard, the absorbance of the standard tube belongs to 30 µg creatinine.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 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?
- ANALYSIS OF URINE B. INORGANIC CONSTITUENTS1. Calcium - to 2 ml urine, add 3 drops of 2% potassium oxalate solution. Noteprecipitate formation. Filter and test the filtrate for further precipitation byadding K oxalate dropwise until no more precipitate is formed. Filter and usethe filtrate for the next test.2. Magnesium –place red litmus paper in the filtrate and add drop by drop 10%NH 4 OH to the filtrate in no.1 until the solution is alkaline to the litmus paper(litmus paper should change its color to blue). Set aside and observe if aprecipitate is formed.3. Chlorides –place blue litmus paper to 2 ml urine add HNO 3 solution dropwiseuntil solution is acidic when litmus paper changes color to red. Add a fewdrops of AgNO 3 and observe. 4. Sulfates–place blue litmus paper to 2 ml urine, add several drops of HCl untilsolution is acidic when litmus paper changes to red. Then add 10% BaCl 2 dropby drop until a precipitate is formed.5. Phosphatesa. Phosphates of Ca and Mg –place red litmus…The client had the following intake and output during your shift: 0700 Emesis 40 mL 1 popsicle (40 mL) 6 ounces of chicken broth 12 ounces of water 0700-0800 100 mL/hour iv infusion 0800 8 ounces of ice chips 0900 950 mL urine 1000 4 ounces of water 1100 12 ounces of coffee 6 ounces of vegetable broth 1200 250 mL urine 20 mL antibiotic IV 1 pack of red blood cells (250 mL) What was the client's total intake during your shift? If output exceeded intake, enter your number as a negative (for example, "-100"). Enter your answer: mLA 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