*NURSING > CASE STUDY > DeVry University, Phoenix - CLS 460CLS460 Urinalysis Case Study. (All)

DeVry University, Phoenix - CLS 460CLS460 Urinalysis Case Study.

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Christina Sturgill CLS350 January 2019-February 2019 Week 1 Urinalysis Case Study CLS460 Clinical Practicum Urinalysis Case Study Part I: A 14-year-old boy who has recently recovered from a sor ... e throat develops edema and hematuria. Significant laboratory results include a BUN of 30 mg/dL (normal 8–23 mg/dL) and a positive Streptozyme test result. Results of a urinalysis are as follows: COLOR: Red KETONES: Negative CLARITY: Cloudy BLOOD: Large SP. GRAVITY: 1.020 BILIRUBIN: Negative PH: 5.0 UROBILINOGEN: Normal PROTEIN: 3+ NITRITE: Negative GLUCOSE: Negative LEUKOCYTE: Trace Microscopic: 100 RBCs/hpf—many dysmorphic forms 5–8 WBCs/hpf 0–2 granular casts/lpf 0–1 RBC casts/lpf 1. What disorder do these results and history indicate? 2. What specific organism and virulence factor was responsible for the patient’s sore throat? 3. What is occurring within this disease that leads to large amounts of blood in the urine? 4. If the above urinalysis results were seen in a 5-year-old boy who has developed a red, patchy rash following recovery from a sore throat, what disorder would be suspected? 1. Is the urine pH consistent with the appearance of uric acid crystals? 2. Is there any correlation between the urinalysis results and the substance observed in the child’s diapers? 3. What disorder do the patient’s history and the urinalysis results indicate? 4. What enzyme is missing in this disease? 1. What specific disease do the patient’s laboratory results and history suggest along with the end-stage renal disease that is occurring? 2. What is the significance of the positive result for urine glucose? [Show More]

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