Professional Documents
Culture Documents
Case 1
A construction worker is pinned under collapsed scaffolding for several hours prior to being taken to the emergency room. His abdomen and upper legs are severely bruised, but no fractures are detected. A specimen for urinalysis obtained by catheterization has the following results:
Urinalysis
Macroscopic: Color Clarity Chemistry: pH SG Protein Leuko Blood Bilirubin Urobilinogen Sediment: Erythrocytes Leuko
Red-brown
Questions: 1. List the clinical & lab abnormalities in this patient! 2. What is the most probable cause of the positive blood reaction? 3. What is the source of the substance causing the positive blood reaction and the name of the condition?
Case 5
Case 2
Mr. Z/44 yo Fever since 2 days ago, low back pain, cloudy urine. Physic diagnostic: toAx: 38.5oC pain on flank area +
Yellow Cloudy 6.8 1.020 2+ 3+ 1+ + 2 5/HPF +++ (unaccountable)/HPF ++ Granular + (1-2) /LPF Leuko : + (1-2) /LPF
Questions: List: 1. Clinical & lab abnormality in this patient! 2. Diagnosis & differential diagnosis of patient! 3. Other examination that support no 2 (clinical, lab, and/or other)
Case 3
Mrs. S/47 yo Chief complaint: swelling Anamnesis: Swelling since 1 wk before admission (swell in feet, arms and face), shortness of breath, nausea vomit 3 days before admission. Physisc diagnostic: General swelling
Lab findings: Ureum 24.2 mg/dl (N: 20-40) Creatinine 1.20 mg/dl (N: < 1.2) Total cholesterol 595 mg/dl (N: 130 200) Albumin 1,7 g/dl (N: 3.5-5.5)
Urinalysis
Macroscopic: Color Clarity Chemistry: pH SG Protein Leuko Blood Bilirubin Others Sediment: Erythrocytes Leuko Cast
Yellow
Clear 6.7 1.017 4+ trace 1+ 2 3 /HPF 5 10 /HPF hyaline 0-2/LPF granular 5-10/LPF
Questions: List: 1. Clinical & lab abnormality in this patient! 2. Diagnosis & differential diagnosis of patient! 3. Other examination that support no 2 (clinical, lab, and/or other)
Case 4
Mrs. T/30 yo Dysuria in the end of urination, frequent urination, pain on suprapubic area. toAx: 37.2oC
Urinalysis
Macroscopic: Color Clarity
Chemistry: pH SG Protein Blood Leuko Nitrite Others Sediment: Erythrocytes Leuko Bacteria
Yellow
Cloud
Questions: List: 1. Clinical & lab abnormality in this patient! 2. Diagnosis & differential diagnosis of patient! 3. Other examination that support no 2 (clinical, lab, and/or other)