Case Scenario 2. 28 year old man visits his physician complaining of an intense, sharp pain in his back and side. In a c

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Case Scenario 2 28 Year Old Man Visits His Physician Complaining Of An Intense Sharp Pain In His Back And Side In A C 1 (59.99 KiB) Viewed 15 times

Case Scenario 2. 28 year old man visits his physician complaining of an intense, sharp pain in his back and side. In a conversation with his physician, the patient confesses to eating a low carb diet high in animal proteins such as red meat, chicken, fish and cheese, such as Atkins. Results of a complete urinalysis are shown below. Chemical/Physical Analysis Color Appearance Specific Gravity pH Yellow Clear 1.025 5.0 Microscopic Analysis >100 RBC/HPF 0-3 WBC/HPF 20-30 Bacteria/HPF 0-5 Squamous Epithelial Cells/HPF Unidentified Crystals Glucose Protein: Ketones 150mg/dL Bilirubin Negative Negative Trace Urobilinogen Blood Nitrite Leukocyte Normal Large Negative Negative 1. Is there a discrepancy between the leukocyte and nitrite on the reagent dipstick compared to the results reported in the microscopic analysis? Why or why not? 2. How is it possible for this patient to have a positive urine ketone with a negative urine glucose? 3. Suggest an explanation for blood in the urine. Cite the page number in Strasinger or other source that assists your decisions.