Case History - 1

choppedspleenΜηχανική

21 Φεβ 2014 (πριν από 3 χρόνια και 3 μήνες)

43 εμφανίσεις

1

Case History
-

1


24
-
year
-
old female
patient. Asymptomatic
UA during a physical
exam.



Rapid Chemistry


SG = 1.016


pH = 6.0


Blood, Protein, Glucose, &
Leukocyte Esterase =
Negative

2

Common Acidic Crystals

Amorphous Urates

Calcium Oxalate

Uric Acid

3

Abnormal

Acidic Crystals

Leucine

Tyrosine

Cystine

Cholesterol

Bilirubin

4

Uncommon

Acid Crystals

Calcium Sulfates

Hippuric Acid

Sodium Urate

Sulfonamide

X
-
Ray Dye (Renografin)

X
-
Ray Dye (Hypaque)

5

Case History
-

2


48
-
year old male found
incoherent and
hospitalized.



Rapid Chemistries


Cloudy urine


Blood 2+


Protein 4+


Nitrite & Leukocyte
Esterase = Positive


6

Cast Comparison


Opaque


Cylindrical


Blunt Ends

Hyaline Cast

Waxy Cast

Fiber


Transparent


Cylindrical


Rounded Ends


Refractile


Flat


Dark Edges

7

Case History
-

3


63
-
year old male with
lower back pain.



Rapid Chemistries


pH 5.0


Nitrite = Positive


Protein, Blood,
Leukocyte Esterase,
Glucose, Ketones =
Negative


8

Case History
-

4


45
-
year old male with
chronic hepatitis.



Rapid Chemistries


Specific Gravity = 1.015


pH 5.5


Bilirubin = Positive


Protein = 3+


Leukocyte Est. = Positive


Nitrite, Blood, Glucose,
Ketones = Negative


9

Common Acidic Crystals

Amorphous Urates

Calcium Oxalate

Uric Acid

10

Abnormal

Acidic Crystals

Leucine

Tyrosine

Cystine

Cholesterol

Bilirubin

11

Uncommon

Acid Crystals

Calcium Sulfates

Hippuric Acid

Sodium Urate

Sulfonamide

X
-
Ray Dye (Renografin)

X
-
Ray Dye (Hypaque)

12

Case History
-

5


19
-
year old female.
Asymptomatic with UA
during a physical exam.



Rapid Chemistries


pH 6.5


Blood = 1+


Protein = Trace


Leukocyte Est., Nitrite,
Glucose, Ketones = Negative


13

Cast Comparison


Opaque


Cylindrical


Blunt Ends

Hyaline Cast

Waxy Cast

Fiber


Transparent


Cylindrical


Rounded Ends


Refractile


Flat


Dark Edges

14

Case History
-

6


25
-
year old female admitted
for multiple substance
abuse.



Rapid Chemistries


Cloudy


pH 6.5


Protein = Trace


Leukocyte Est., Nitrite, Blood,
Glucose & Ketones =
Negative


15

Common Acidic Crystals

Amorphous Urates

Calcium Oxalate

Uric Acid

16

Abnormal

Acidic Crystals

Leucine

Tyrosine

Cystine

Cholesterol

Bilirubin

17

Uncommon

Acid Crystals

Calcium Sulfates

Hippuric Acid

Sodium Urate

Sulfonamide

X
-
Ray Dye (Renografin)

X
-
Ray Dye (Hypaque)

18

Case History
-

7


52
-
year old female
admitted for renal
disease.



Rapid Chemistries


pH 5.0


Protein = 3+


Specific Gravity = 1.030


Leukocyte Est., Nitrite,
Blood, Glucose, Ketones =
Negative


19

Cast Comparison


Opaque


Cylindrical


Blunt Ends

Hyaline Cast

Waxy Cast

Fiber


Transparent


Cylindrical


Rounded Ends


Refractile


Flat


Dark Edges

20

Case History
-

8


71
-
year old male with
alcoholic cirrhosis and
esophageal bleeding.

Rapid Chemistries


pH 5.0


Specific Gravity = 1.030


Protein = 2+


Blood = 2+


Bilirubin = 3+


Leukocyte Est. = Negative


Nitrite & Glucose = Negative

21

Cast Comparison


Cellularity Indeterminate


Cylindrical


Rounded Ends


Cellular


Cylindrical


Rounded Ends

Cellular Cast (Renal)

Granular
Cast

22

Case History
-

9


20
-
year old female with
acute pyelonephritis (renal
Infection).



Rapid Chemistries


pH 5.0


Nitrite = Positive


Protein = 2+


Leukocyte Esterase = Positive


Blood, Bilirubin, Ketones &
Glucose = Negative

23

Cast Comparison


Cellularity Indeterminate


Cylindrical


Rounded Ends


Cellular


Cylindrical


Rounded Ends

Cellular Cast (Renal)

Granular
Cast

24

Case History
-

10


20
-
year old male.
Asymptomatic with UA
performed during a physical
exam.



Rapid Chemistries


pH 7.5


Protein = Trace


Leukocyte Esterase, Nitrite,
Blood, Bilirubin, Ketones &
Glucose = Negative

25

Alkaline Crystals

Amorphous
Phosphates

Calcium Oxalate

Triple Phosphate

Calcium
Carbonate

Calcium
Phosphate

Ammonium
Biurate

26

Urine Sediment Training



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