Urine Case studies

Case study one

1.      The abnormal urinalysis findings are the presence of hazy urine, high levels of protein and the few squamous of the epithelial tissue that may indicate tumors or specimen contamination.

2.      The microscopic examination of the urine sediment was performed in this case due to the presence of high level of protein. The test checks on the white and red blood cells, epithelial cells, bacteria, casts, and crystals.

3.      Yes, the urine collection can be gram stained and cultured. This is because; there may be the presence of bacteria in the urine that is indicated by the gram test or the culture that identifies any germs available.

4.      The positive nitrile result and the presence of bacteria in the urine sediment indicate that there is the likelihood of having a urinary tract infection.

5.      The results would likely indicate an upper UTI due to the absence of blood and the lack of cloudy urine.

Case Study two

1.      The laboratory results that led the doctor to decide to perform the SSA is the negative strip protein test hence requiring protein (SSA) 2+ for confirmation.

2.      The discrepancy between the urine reagent strip test for protein and the SSA protein test is due to the fact that the reagent strip is most sensitive for albumin whereas SSA is sensitive to all forms of protein.

3.      The specific gravity was repeated by refractometer due to the reading of 1.015 that was near the maximum limit of 1.035, hence required clarification with a more sensitive method.

4.      The precipitate from the SSA protein test was viewed microscopically to ascertain the protein levels as seen on the strip tests after getting the results of about 100 mg protein/ dL.

5.      The follow-up a test that can be done to confirm the urinary protein in the case is proteinuria.

Case study three

1.      The probable cause of unconsciousness in the patient is due to the recorded levels of ketones that show either diabetic ketosis or some other form of calorie deprivation.

2.      The cause of aromatic odor noticed in the breath of the patient is due to the presence of alcohol consumption.

3.      The disparity in the specific gravity values is due to the alterations in each method of measurement. Use of a refractometer gives results that can be altered by large particles of glucose and albumin. The results show a high level of glucose hence the difference.

4.      It is important to determine the cause of the unconsciousness because the blood glucose level was very high and it would be important to identify the cause. In addition the symptoms of fever, increased pulse and respiration rate are issues of concern.

Case Study 4

1.      The abnormal urinalysis results for the patient are the brown color, presence of foam, and the large tablet positive bilirubin strip test.

2.      The color of the sclera and that of the stool relate to the presence of bilirubin in the urine since they indicate red blood cell breakdown in large quantities than normal.

3.      An additional tablet test for bilirubin was performed to ascertain the cause of the symptoms of the yellowing of the sclera and the pale color of stool which may be an indication of jaundice.

4.      The jaundice exhibited in the patient is hemolytic due to the urine appearing darker hence indicating large presence of broken down red blood cells.

Carolyn Morgan is the author of this paper. A senior editor at MeldaResearch.Com in write my nursing research paper services. If you need a similar paper you can place your order from essay already written services.