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What indicates the following pathology result in patient with DKA?
- GFR 25 mL/min
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- A 42-year-old man has had multiple episodes of painful red nodules on his skin from dermal venous thrombosis, as well as abdominal pain from mesenteric vein thrombosis over the past year. He notes passing darker urine. Laboratory studies show Hgb| 9.4 g/dL, Hct 29.2%, MCV 100 fL, platelet count 215,000/microliter, and WBC count of 8800/microliter. His RBCs show increased sensitivity to complement lysis. Flow cytometry is most likely to show reduction in which of the following markers on his RBCS? 1. CD 68 2. CD19 3, cd 4 4. CD55 5. CD33Give the clinical significance of detecting the following_parameters in urine Parameter Clinical significance pH Protein Glucose Ketones Blood Bilirubin Urobilinogen Nitrite Leukocyte esterase Specific GravityA 63-year-old man with a 5-year history of congestive heart failure comes to the emergency department because of a 1-month history of fatigue and labored breathing. Evaluation shows pulmonary edema and a GFR of 35 mL/min. Furosemide is administered. QI: Which of the following physiologic effects are possible following furosemide administration?
- Regarding urination, the normal voiding pressure is O Up to 150cmH¸O O 120 mmHg O 80 mmHg Fairly low (20 - 40) cm H,0 May be over 100 cm H,OWhat are the following for each patient? Edward urine composition: _______ blood compostion: _______ Ariana urine composition: ________ blood composition: _______Assuming that the GFR for a person is 175 ml/min. which one of the followings would be more appropriate to describe the case Question 55 options: More filtration permeability Less NFP More collecting ducts available Decrease in GFR
- A patient X is 60 years old male. Has been diagnosed with CKD (chronic kidney disease). He has been taking Tylenol or Indomethacin for his arthritis during last two years. Why NSAIDs (non-steroid anti-inflammatory drugs) do not affect GFR in patients with normal renal function and why it is not recommended for patients with reduced GFR, especially in patients with CKD?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%Patient A is 65 years old female. She has been diagnosed with diabetes Type II. Recently she experienced a gastrointestinal illness with nausea and vomiting. Lab data have been obtained the following day after her illness: Body weight 85 kg; Blood pressure 140/90 mmHg; Blood pH – 7.48; PCO2 – 44 mm Hg; Plasma HCO3 ion -32 mEq/L; Urine pH – 7.5. What is acid-base disorder of this patient. What was a main cause of this? The illness continues and after 2 days the following laboratory data have been obtained: Body weight 83 kg; Blood pressure 120/70 mmHg; Blood pH – 7.50; PCO2 – 48 mm Hg; Plasma HCO3 ion -36 mEq/L; Urine pH – 6.0. Has acid-base disbalance been changed? If yes, what is the explanation for this acid-base disbalance? Is there any compensation?
- A 21 year-old man with nausea, vomiting, and jaundice has the following laboratory findings: Total serum bilirubin 8.5 mg/dL (normal 0-1.0 mg/dL) Direct serum bilirubin 6.1 mg/dL (normal 0-0.5 mg/dL) Urine urobilinogen Increased Urine bilirubin Positive AST 200 U/L (normal 0-50 m/L) ALP 160 U/L (normal 0-150 m/L) What disease state are these findings consistent with? 1) Hemolytic anemia 2) Early hepatitis 3) Chronic liver disease 4) Obstructive jaundice no references, just homeworkIn 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)The prescriber orders 2.5 L of D5W to infuse at 150 mL/hr. Determine the infusion time.