AUBF CASE STUDY A 9-year-old boy has a history of a recent viral… AUBF CASE STUDYA 9-year
AUBF CASE STUDY A 9-year-old boy has a history of a recent viral… AUBF CASE STUDYA 9-year-old boy has a history of a recent viral infection. He now feels faint and is feverish, and is generally not well. He has to urinate frequently and is very thirsty. His breath smells fruity. He is seen in an urgent care clinic, where blood is drawn and urine collected for routine urinalysis. The following urinalysis results were obtained. Physical appearance:Color paleTransparency clear Chemical screening: pH 5.0Specific gravity 1.029 (refractometer) 1.005 (reagent strip)Protein (reagent strip) negativeBlood negativeNitrite negativeLeukocyte esterase negativeGlucose >2000 mg/dLKetones largeBilirubin negativeUrobilinogen negative Microscopic examination:RBC 0-2 per hpfWBC 0-2 per hpf, clumps of white cells seen Questions:1. List the abnormal findings.2. The difference in the specific gravity values in this specimen is probably due to which of the following?a. Ability of the refractometer to measure only nonionizing substancesb. Difference in the principles of the methodsc. Failure to use proper quality controld. Instrument errore. Poor technique by the person performing the urinalysis 3. Calculate the concentration of glucose in this urine specimen, given the difference in specific gravity values. 4. The unusual fruity smell of the breath of this patient is due to the presence of:a. acetoneb. beta-hydroxybutyric acidc. diacetic acidd. glucose 5. This patient is at risk of losing consciousness as a result of:a. Diabetic comab. Diabetic shockc. infectiond. kidney failure 6. Which of the following conditions is exhibited by this patient?a. Anorexia nervosab. Diabetes insipidusc. Diabetes mellitusd. Galactosemiae. Nephritic syndrome Health Science Science Nursing BIO 207 Share QuestionEmailCopy link Comments (0)
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