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? A Briefly explain the etiology of this condition

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
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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.
Transcribed Image Text: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.
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