A 10-year-old girl had a routine urinalysis during her school's routine medical examination. The urinalysisresults are as follows:PHYSICAL EXAMINATIONColor: YellowAppearance: CloudyCHEMICAL EXAMINATIONGlucose: NegativeBilirubin: NegativeKetone: NegativeSpecific gravity: 1.025Blood: NegativepH: 7.5Protein: TraceUrobilinogen: 0.2 mg/dLNitrite: PositiveLeukocyte esterase: LargeMICROSCOPIC EXAMINATIONRBC: 0-2/hpfWBC: 20-30/hpfSquamous epithelial cells:0-5/lpfBacteria: Many /hpfHyaline cast: 2-5/lpf1. 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.

Urinalysis is the test done on a urine sample. This test uses a urine sample to detect disease. It…

Answered: A 10-year-old girl had a routine…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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What is causing the patients “puffy feeling”?
Which laboratory finding is indicative of acute kidney injury (AKI)? a) Increased serum creatinine and blood urea nitrogen (BUN) levels b) Decreased serum potassium levels c) Elevated white blood cell count d) Decreased serum calcium levels
What disorder is affecting this patient? And what situations predispose an individual to this disorder?
CASE SCENARIO ACUTE GLOMERULONEPHRITIS: J.B., female 36 years old, single, a bus conductor was apparently well, until 4 days prior to admission, when she experienced dizziness and headache while at work. Once parked at the terminal, she asked to be checked in the clinic and BP was recorded at 180/100 mmHg, which was unusual since she usually had a BP of 90/60 mmHg. Clonidine 75 mcg was placed sublingual, which reduced her BP to 150/90 mmHg. She was then advised by the company nurse to go home. 2 days PTA, a co employee noticed that her eyes were puffy and even kidded if she broke off with her boyfriend. She just shrugged off the comment and did her usual chores. Few hours PTA, while preparing for work, she noticed blood in the toilet bowl after urinating, which prompted her to seek consult and eventually admission. Her history is essentially negative for past kidney or urinary problems. She admitted that her eyes seemed a little puffy, but she thought this was due to lack of sleep and…
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Any sudden change in vital signs can be extremely important. Hector Garcia has been given an antibi otic for a urinary tract infection. This is the second occurrence of infection in 6 weeks, and he has now been referred for an excretory urogram. While waiting for the initial image to be checked, he complains of feeling short of breath and has a poorly defined discomfort in his chest. What might cause these symptoms? What should you do?
A lab tech was rushed to the ER after a needlestick injury due to improper needle disposal. A Hepatitis Panel was ordered and the results were as follows: A Hepatitis Panel was ordered, and the results were as follows:HBsAg: negativeAnti- HBc (IgM): negativeAnti-HBc: negativeAnti-HBs: positiveAnti-HCV: negative Question: Why is the positive Anti-HBs an expected result?
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In this case, a 72-year-old man with a medical history that includes hypertension, type 2 diabetes, coronary artery disease with stent implantation, and congestive heart failure is hospitalized for dyspnea while at rest. Despite salt restriction and diuretics, he continued to have swelling in his legs for four weeks. His L ejection fraction (EF) is 40 percent, which is excellent. Humalog (75/25) 20 units QD, furosemide 40 mg BID, metolazone 2.5 mg QD, spironolactone 12.5 mg QD, carvedilol 12.5 mg BID, ramipril 10 mg QD, atorvastatin 40 mg QD, clopidogrel 75 mg QD, and aspirin 81 mg QD are among the medications prescribed. The patient's blood pressure was 100/60 mmHg, his pulse was 102 beats/min, he had JVD, crackles, an S3, a positive hepatojugular reflex, and pitting edema that reached his knees. Na+ concentrations were 134 mEq/L, K+ concentrations were 3.8 mEq/L, Cl concentrations were 90 mEq/L, HCO3 concentrations were 28 mEq/L, BUN concentrations were 46 mg/dL, creatinine…
What disorder is affecting this patient and what situation(s) predispose an individual to this disorder?

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