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AUBF Case Study

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Arafe Nicole Cayetano
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7 views

AUBF Case Study

Uploaded by

Arafe Nicole Cayetano
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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1.

A urine specimen is tested by a reagent strip test and the sulfosalicylic acid test to
determine whether protein is present. The former yields a negative protein, whereas the
latter results in a reading of 2+ protein. Explain this phenomenon.

2. A 40-year-old female patient with a history of kidney infection is seen by her physician
because she has felt lethargic for a few weeks. She has decreased frequency of urination
and a bloated feeling. Physical examination shows periorbital swelling and general
edema, including a swollen abdomen. Significant urinalysis results show the following:
color = yellow; appearance = cloudy/frothy; specific gravity = 1.022; pH = 7.0; protein =
4+; 0-3 WBC/hpf; 0-1 RBC/hpf; 0-2 renal epithelial cells/hpf; 10-20 hyaline casts/lpf; 0-
1 granular casts/lpf; 0-1 fatty casts/lpf; occasional oval fat bodies. Her serum chemistries
show significantly decreased albumin, increased urea nitrogen, and increased creatinine.
These findings suggest which condition? Why?
3. A 47-year-old female patient with controlled type 2 diabetes mellitus complains of
urinary frequency and burning. She provides a first-morning, clean-catch specimen.
Results show color = yellow; appearance = cloudy; pH = 6.5; a representative
microscopic high-power field is shown below. Identify all microscopic elements shown in
the picture below.
4. A 22-year-old female medical technology student performs a urinalysis on her own urine as
part of a lab class. Significant results include: color = yellow; appearance = cloudy; pH = 7.5;
nitrite = positive; leukocyte esterase - 2+; 25^0 WBC/hpf; 0-3 RBC/hpf; 2-5 squamous epithelial
cells/hpf; moderate bacteria. All other chemistries and microscopic results were normal. What
these findings suggest?

5. A 67-year-old male has routine testing done and shows an estimated glomerular filtration rate
(eGFR) of 42 mL/min/1.73 m2. Which of the following is true for this patient?

A. This test requires a 24-hour urine collection.


B. The patient does not have chronic kidney damage, based on these results.
C. Similar results would be obtained using the Cockcroft-Gault formula.
D. The patient is in Stage 3 chronic kidney damage

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