Answered: A physician questions the results of a…

A physician questions the results of a urinalysis which was reported to show a negative nitrite, yet contained 2 bacteria. Suggest a course of action and explanation why these findings are consistent

Understanding Health Insurance: A Guide to Billing and Reimbursement

14th Edition

ISBN:9781337679480

Author:GREEN

Publisher:GREEN

Chapter6: Icd-10-cm Coding

Section: Chapter Questions

Problem 136R

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A physician questions the results of a urinalysis which was reported to show a negative nitrite, yet contained 2 bacteria. Suggest a course of action and explanation why these findings are consistent

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ANSWER
If there is any growth observed from a patien'ts urine sample, we should consider this is a pathogenic result and the patient should be diagnosed with a urinary tract infection (URI). True or false?
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A patient, 50 years old, suffering from chronic glomerulonephritis, developed massive proteinuria (excretion of protein in the urine). On examination: swelling on the legs and lower back was found. Questions: 1. What does the term edema mean? Give its definition. 2. Indicate the cause of the development of edema in this patient. 3. Indicate the initial pathogenetic factor of edema in this case. Justify the answer. 4. Name other reasons that can initiate this pathogenetic factor. 5. Make a scheme for the pathogenesis of this edema. 6. Which group of microcirculation disorders include edema? 7. Describe the lymphogenous factor of edema development.
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Describe why penicillamine is used to treat cystinuria.
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A 42 – year old man experiences respiratory difficulty followed by the appearance of blood – streaked sputum. A chest radiograph shows pulmonary infiltration and sputum culture is negative for pathogens. Symptoms of extreme fatigue and red urine is present. Blood test results indicate anemia, increased BUN and creatinine and the presence of anti – glomerular basement membrane antibodies. A. What is the possible condition of the patient? B. Discuss the pathophysiology of the disease/disorder.