Answer Happy

A 36 year-old female lawyer who presents with ankle edema. Eight-year history of systemic lupus erythematosis. Originally diagnosed because of joint related symptoms. Over the past several weeks has developed a prominent malar rash. Has 2+ ankle edema. Recent serum creatinine was 3.2 mg/dL (nrml <1). | Her creatinine clearance is 12 ml/min. B/P 118/78, Temp = 99.2 Physical Exam control patient Chemical Exam Daycr Bayer Bayer Rover TESTS AND READING TIME LEUKOCYTES NEGATIVE 2 minutes NITRITE 60 seconds UROBILINOGEN 0.2 60 seconds PROTEIN 60 seconds PH 60 seconds BLOOD 60 seconds SPECIFIC GRAVITY 45 seconds KETONE 40 seconds NEGATIVE BILIRUBIN 30 seconds NEGATIVE 5.0 NEGATIVE 1.000 NEGATIVE NEGATIVE NORMAL GLUCOSE NEGATIVE 30 seconds 1 TRACE 6.0 TRACE 1.005 NON-HEMOLYZED mg/dL g/dL (%) mg'd mg/dL mg/dL URINE (1 mg - approx. 1 EU) 2 6.5 MODERATE EXON 1.010 TRACE 5 TRACE 1/10 (r.) 100 30 7.0 1.015 SMALL SMALL 15 HEMOLYZED SMALL TRACE 1/4 250 100 ++ 7.5 1.020 MODERATE 40 SMALL + 1/2 500 MODERATE ++ -POSITIVE (any degree of uniform pink color) 300 +++ 8.0 MODERATE 1.025 MODERATE ++ 1 1000 -LARGE- LARGE 2000 or more ++++ 8.5 LARGE 1.030 160 LARGE 2 or more 2000 or more s S P C
1. Record the physical, chemical, and microscopic results. 2. What is the most likely pathogenic condition? 3. Explain how the patient's history and laboratory results correlate with the selected condition.