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3.4.5: URINALYSIS LAB

patient # 6
by

becky sanford

on 16 April 2010

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Transcript of 3.4.5: URINALYSIS LAB

Patient #6 By John Sackman, Hadeel Shadid,
Becky Sanford, & Alex Chung Symptoms of Renal Failure Decreased urine output, although urine output can remain normal
Fluid retention, causing swelling in your legs, ankles
Drowsiness
Shortness of breath
Fatigue
Confusion
Seizures
Chest pain: related to pericarditis, an inflammation of the saclike membrane that envelops the heart About patient #6 60 years old
Unusually tired
Occasionally dizzy
Hard to sleep through night
Ankles & feet swollen
Face a little bit puffy
Burning pain in lower back (just below rib cage)
Darker urine
Elevated blood pressure
Some presence of red blood cells in urine
Diagnosis Patient #6, is going into
RENAL FAILURE Urinalysis Results Elevated Specific Gravity
Presence of Leukocytes Presence of Protein More dissolved particles Indicates tissue damage Indicates filtration has stopped Acidic pH Effects on Body Systems Urinary and Excretory System: Directly since there is chronic infection of the kidney, lead to other diseases of the kidneys; bladder outlet obstruction
Cardiovascular System: Indirectly since causes an inflammation of the saclike membrane that envelops the heart; high blood pressure
Endocrine System: Indirectly leads to diabetes, since there is an excess amount of glucose in the blood. Only one kidney is left to filter the blood; possibly too much waste in the body
Immune System: Lead to immune disorders, such as lupus, IgA nephropathy and scleroderma
Treatment Peritoneal Dialysis Hemodialysis Kidney Transplantation CAPD CCPD Resources Possible Furthur Tests GFR (Glomerular Filtration Rate)
Ultrasound
CAT scan (Computed Tomography)
Intravenous Pyelogram (IVP)
MRI scans (Magnetic Resonance Imagining)
Kidney Biopsy
Blood tests for BUN (Blood Urine Nitrogen and Creatine)
EGFR (estimated GFR) determined by the MDRD equation
Abdominal Ultrasound (size of kidneys) http://kidney.niddk.nih.gov/kudiseases
/pubs/choosingtreatment/ http://www.webmd.com/a-to-z-guides
/acute-renal-failure-exams-and-tests
Full transcript