A 25-year-old female comes to the outpatient clinic with symptoms of lower back pain, urinary frequency, and a burning sensation when voiding. She is given a sterile container and asked to collect a midstream clean-catch urine specimen. Routine urinalysis results are as follows: Macroscopic analysis: Color: Pale yellow Clarity: Hazy Sp. gravity: 1.005 pH: 8.0 Ketones: Negative Blood: Small Bilirubin: Negative Urobilinogen: Normal Protein: Trace Nitrite: Positive Glucose: Negative Leukocyte: 2+ Microscopic analysis: 6-10 RBCs/hpf 40-50 WBCs/hpf Heavy bacteria Moderate squamous epithelial cells a. What is the most probable diagnosis for this patient, justify your answer? b. make a correlation between the microscopic and macroscopic analysis ? c. What are the possible further tests that will be asked to perform?
A 25-year-old female comes to the outpatient clinic with symptoms of lower back pain, urinary frequency, and a burning sensation when voiding. She is given a sterile container and asked to collect a midstream clean-catch urine specimen. Routine urinalysis results are as follows: Macroscopic analysis: Color: Pale yellow Clarity: Hazy Sp. gravity: 1.005 pH: 8.0 Ketones: Negative Blood: Small Bilirubin: Negative Urobilinogen: Normal Protein: Trace Nitrite: Positive Glucose: Negative Leukocyte: 2+ Microscopic analysis: 6-10 RBCs/hpf 40-50 WBCs/hpf Heavy bacteria Moderate squamous epithelial cells a. What is the most probable diagnosis for this patient, justify your answer? b. make a correlation between the microscopic and macroscopic analysis ? c. What are the possible further tests that will be asked to perform?
Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
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A 25-year-old female comes to the outpatient clinic with symptoms of lower back pain, urinary frequency, and a burning sensation when voiding. She is given a sterile container and asked to collect a midstream clean-catch urine specimen.
Routine urinalysis results are as follows:
Macroscopic analysis:
Color: Pale yellow
Clarity: Hazy
Sp. gravity: 1.005
pH: 8.0
Ketones: Negative
Blood: Small
Bilirubin: Negative
Urobilinogen: Normal
Protein: Trace
Nitrite: Positive
Glucose: Negative
Leukocyte: 2+
Microscopic analysis:
6-10 RBCs/hpf
40-50 WBCs/hpf
Heavy bacteria
Moderate squamous epithelial cells
a. What is the most probable diagnosis for this patient, justify your answer?
b. make a correlation between the microscopic and macroscopic analysis ?
c. What are the possible further tests that will be asked to perform?
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