Loading presentation...

Present Remotely

Send the link below via email or IM


Present to your audience

Start remote presentation

  • Invited audience members will follow you as you navigate and present
  • People invited to a presentation do not need a Prezi account
  • This link expires 10 minutes after you close the presentation
  • A maximum of 30 users can follow your presentation
  • Learn more about this feature in our knowledge base article

Do you really want to delete this prezi?

Neither you, nor the coeditors you shared it with will be able to recover it again.


Urinalysis Case Study - #1

No description

Jason Molina

on 16 April 2013

Comments (0)

Please log in to add your comment.

Report abuse

Transcript of Urinalysis Case Study - #1

By Jason Molina Case Study #1 What's wrong with her? Physical Examination The Patient
Color: Yellow

Clarity: Cloudy

Odor: Fowl Protein
Confirmatory Test Sulfosalicylic Acid Precipitation Test (SSA) Nitrite -The reagent strip test for nitrite provides a rapid screening test for the presence of urinary tract infection (UTI).

-A positive nitrite reagent test can indicate bacteriuria.

-Many labs use the nitrite test in combination with the leukocyte esterase test to further confirm UTI's. Microscopic Examination RBC's: 0-5/hpf
WBC's: 25-50/hpf
Casts: 2-5 WBC/lpf
Bacteria: moderate
Epithelial Cells: Squamous, Rare
Crystals: Negative White Blood Cells -An increase in urinary WBC's is called pyuria and indicates the presence of an infection or inflammation in the genitourinary system.

-Bacterial infections, such as cystitis and pyelonephritis, are frequent causes of pyuria. Bacteria -The presence of bacteria can be indicative of either lower or upper UTI.

-The Bacteria most frequently associated with UTI are the Enterobacteriaceae

-To be considered significant for UTI, bacgeria should accomponied by WBC's. -Fever of 101°
-nausea, headache, & flank pain
-painful urination
-frequent urination Chemical Examination Glucose: Neg
Bilirubin: Neg
Ketone: Neg
Specific Gravity: 1.010
Blood: Trace
pH: 6.5
Protein: 30 mg/dL
Urobilinogen: Neg
Nitrite: Pos
Leuk. Esterase: Pos The SSA test is a cold precipitation test that reacts equally with all forms of protein. SSA Precipitation Test Procedure -Add 3 ml of 3% SSA reagent to 3 mL of centrifuged urine.
-Mix by inversion and observe cloudiness.
-Grade the degree of turbidity. SSA Report Grade: 1+
Turbidity: Noticeable
Protein Range: 30-100 Proteinuria Confirmed! Leukocyte Esterase -The LE test detects the presence of esterase in the granulocytic WBC's
-Increased urinary leukocytes are indicators of UTI.
-A positive LE test result is accomponied by the presence of bacteria, which may also produce a positive nitrite test WBC Casts -The appearance of WBC casts in urine signifies infections within the nephron.

-WBC casts are the primary marker for distinguishing pyelonephritis (upper UTI) from lower UTI's. Here's what we know: In Conclusion Acute Pyelonephritis -Pyelum meaning "Renal Pelvis"
-Nephros meaning "Kidney"
-Itis meaning "Inflammation"
Upper Urinary Tract Infection Definition Treatment Antibiotic therapy needed to prevent progression of the infection.
Surgery may be needed
Full transcript