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Case History - 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. Uric Acid. Case History - 2. 48-year old male found incoherent and hospitalized. Rapid Chemistries

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Case History - 1

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  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 Uric Acid

  2. Case History - 2 48-year old male found incoherent and hospitalized. Rapid Chemistries Cloudy urine Blood 2+ Protein 4+ Nitrite & Leukocyte Esterase = Positive Waxy Cast

  3. 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 Fibers

  4. 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 Bilirubin

  5. 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 Hyaline Cast

  6. 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 Calcium Oxalate

  7. 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 Waxy Cast

  8. 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 Cellular Cast,RBC

  9. 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 Cellular Cast, WBC

  10. 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 Triple Phosphate

  11. Urine Sediment Training • Questions?

  12. References • Graff, Laurine; A Handbook of Routine Urinalysis; The Lippencott Company, 1983 • http://library.med.utah.edu/WebPath/TUTORIAL/URINE/URINE.html • http://www.medicine.uiowa.edu/cme/clia/modules.asp?testID=20 • http://www.agora.crosemont.qc.ca/urinesediments/doceng/doc_028.htm

  13. References • http://www.med.osaka-u.ac.jp/pub/hp-lab/www/atlas/ECONTENTS.html

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