This is a biopsy of a 73 year man , who is hypertensive and with BPH. Examination of his urine revealed microscopic hematuria. Based on this micrograph, what part of the kidney was affected? Describe the cells and tissues.
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This is a biopsy of a 73 year man , who is hypertensive and with BPH. Examination of his urine revealed microscopic hematuria. Based on this micrograph, what part of the kidney was affected? Describe the cells and tissues.
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- This is a biopsy of a 73 year old man, who is hypertensive and with BPH. Examination of his urine revealed microscopic hematuria. Based on this micrograph, what part of the kidney was affected? Describe the cells and tissues.Urinalysis demonstration [Video]. YouTube. Available at https://youtu.be/H0-EMmG3arc Answer the following questions: a. What happens with untreated UTI’s? b. What complications are there, if any, from only using herbal treatments? c. What percentage of males vs. females suffer from UTI’s?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)
- Constituent of Urine Normal Indication of an abnormal result 1. Urea 2. Chloride 3. Sodium 4. Potassium 5. CreatinineA 4 year old child was admitted for vomiting and diarrhea. Has oliguria. Metabolic profile revealed an elevated serum urea. All other meaured parameters were within normal limits. A calculated urea to creatinine ratio was elevated. Urine color is dark yellow and specific gravity is 1.035. No biochemical abnormalities were identified in urine. 1. Does this child have renal dysfunction? 2. What condition(s) do these results suggest?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: mL
- Paul is a 23-year-old. He was the victim of a hit-and-run auto-pedestrian accident and suffered multiple abrasions, a concussion, and a deep laceration of his left thigh. He was discovered approximately 2 hours after the incident and is now in the emergency department. Paul’s vital signs and hematocrit suggest that he has had a blood loss of about 2,500 ml. A urinary catheter is inserted to monitor urine output, and fluid resuscitation is initiated while his wounds are cleaned and sutured. The urine output is averaging 15 ml/hr, with a high urine osmolality and low urine sodium. 1. What type of renal failure is Paul likely developing? What data support this conclusion?Paul is a 23-year-old. He was the victim of a hit-and-run auto-pedestrian accident and suffered multiple abrasions, a concussion, and a deep laceration of his left thigh. He was discovered approximately 2 hours after the incident and is now in the emergency department. Paul’s vital signs and hematocrit suggest that he has had a blood loss of about 2,500 ml. A urinary catheter is inserted to monitor urine output, and fluid resuscitation is initiated while his wounds are cleaned and sutured. The urine output is averaging 15 ml/hr, with a high urine osmolality and low urine sodium. In addition to urine output, what laboratory data should be monitored to assess changes in Paul’s renal function?Paul is a 23-year-old. He was the victim of a hit-and-run auto-pedestrian accident and suffered multiple abrasions, a concussion, and a deep laceration of his left thigh. He was discovered approximately 2 hours after the incident and is now in the emergency department. Paul’s vital signs and hematocrit suggest that he has had a blood loss of about 2,500 ml. A urinary catheter is inserted to monitor urine output, and fluid resuscitation is initiated while his wounds are cleaned and sutured. The urine output is averaging 15 ml/hr, with a high urine osmolality and low urine sodium. Without adequate therapy, what may develop? Why? What is the best therapy for preventing this from occurring?
- Paul is a 23-year-old. He was the victim of a hit-and-run auto-pedestrian accident and suffered multiple abrasions, a concussion, and a deep laceration of his left thigh. He was discovered approximately 2 hours after the incident and is now in the emergency department. Paul’s vital signs and hematocrit suggest that he has had a blood loss of about 2,500 ml. A urinary catheter is inserted to monitor urine output, and fluid resuscitation is initiated while his wounds are cleaned and sutured. The urine output is averaging 15 ml/hr, with a high urine osmolality and low urine sodium. Discussion Questions1. What type of renal failure is Paul likely developing? What data support this conclusion?2. Without adequate therapy, what may develop? Why? What is the best therapy for preventing this from occurring?3. In addition to urine output, what laboratory data should be monitored to assess changes in Paul’s renal functionTrue or false 1. Fibrous capsule is the smooth membrane clinging tightly to the kidney surface. 2. Calyx is the portion of the kidney containing mostly collecting ducts. 3. Cortex is the portion og the kidney containing the bulk of the nephron structures. 4. Cortex is the superficial region of kidney tissue. 5. Renal pelvis is the basinlike area of the kidney, continuous with the ureter. 6. Medulla is an extension of the pelvis that encircles the apex of a pyramid. 7. Renal column is the area of cortex like tissue running between the renal pyramids.Answer the following in 3-5 sentences each Why do you think a physical examination of the urine is important? Does a change in urine color indicates a disease? Why? justify your answer What does a high specific gravity of a patient's urine suggest?