Professional Documents
Culture Documents
Test Question
You like having 15 questions during
board review instead of 10.
A. True
B. False
Question #1
The mother of a 5-year-old female brings her daughter to
your clinic on Monday morning because when she went
potty this morning her urine was red. She is afebrile and
has no complaints of dysuria or musculoskeletal pain. Her
BP is 94/55 and her urinalysis is negative for blood,
protein, nitrites, and leukocyte esterase. Microscopy
reveals 1 RBC and no casts. You notice scratches on the
girls fingers, and her mother reports that they have just
returned from a friends farm and went berry pickin over
the weekend.
Of the following, the next MOST appropriate step is:
A. Reassurance
B. Renal U/S
C. Creatinine kinase
D. BMP
E. Urine culture
Hematuria
5 or more RBCs per high-power field in 3
consecutive fresh, centrifuged specimens
obtained over the span of several weeks
(+) dipstick for heme
Myoglobinuria
Hemoglobinuria
(-) dipstick for heme
Drugs (sulfa, nitrofurantoin, salicylates,
phenazopyridine, phenolphthalein)
Toxins (lead, benzene)
Food (food coloring, beets, blackberries, rhubarb,
paprika)
Glomerular Bleeding
Discolored urine
RBC casts
Distorted RBC morphology
Causes