16 Jun This specimen was from a 14 year old boy whose mother brought
vQuestion
This specimen was from a 14 year old boy whose mother brought him to their family physician because he had a fever of 40.6°C and shaking chills for the previous day. On physical examination, he had mild right lower back angle tenderness
MACROSCOPIC ANALYSIS
COLOR
YELLOW
APPEARANCE
TURBID
SPECIFIC GRAVITY
1.017
PH
6.5
PROTEIN
NEGATIVE
GLUCOSE
NEGATIVE
KETONES
1+
BILIRUBIN
NEGATIVE
BLOOD
SMALL
UROBILINOGEN
0.1 mg/dl
NITRITE
NEGATIVE
LEUKOCYTE ESTERASE
4+
MICROSCOPIC ANALYSIS
WBC / hpf
> 50 / hpf
RBC / hpf
10-15 / hpf
CASTS
MANY WBCs
OTHER
OCCASIONAL TRANSITIONAL CELLS
Discuss the case and answer the questions:
1. How do you explain the appearance of the urine?
2. How do you relate this to other findings?
3. What chemical findings are abnormal?
4. What findings on microscopic urinalysis would be of help with a diagnosis?
5. What is the suspected diagnosis?
6. What else should be done to confirm the suspected diagnosis?
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