A 38 Year Old Secretary Presents With Left Flank Pain Fever Nausea And Malaise Married Mother Of One Three Day Hist 1 (734.02 KiB) Viewed 30 times
A 38-year old secretary presents with left flank pain, fever, nausea and malaise. Married, mother of one. Three day history of left flank pain, nausea and fever. The patient asks that you please don't pound on her back, especially on the left. BP = 132/74, Temp = 102.1 CBC shows 21,000 WBC/μL (76% neutrophils) (Reference range = 4,800-10,800 WBC/μL) Chemical Exam Physical Exam control patient Bayer Bayer TESTS AND READING TIME LEUKOCYTES NEGATIVE 2 minutes NITRITE 60 seconds UROBILINOGEN 60 seconds PROTEIN 60 seconds PH 60 seconds BLOOD 60 seconds SPECIFIC GRAVITY 45 seconds KETONE 40 seconds NEGATIVE GLUCOSE 30 seconds 0.2 NEGATIVE 5.0 NEGATIVE 1.000 NEGATIVE BILIRUBIN NEGATIVE 30 seconds NORMAL NEGATIVE 1 TRACE 6.0 TRACE *** NON-HEMOLYZED 1.005 mg/dL g/dL (%) mg/dL mg/dL mg/dL URINE (1 mg approx. 1 EU) 2 6.5 MODERATE EN-W 1.010 TRACE 5 TRACE 1/10 (r.) 100 30 7.0 HEMOLYZED TRACE 1.015 SMALL 15 SMALL + 1/4 250 100 ++ 7.5 SMALL + 1.020 MODERATE 40 SMALL 1/2 500 MODERATE ++ POSITIVE- (any degree of uniform pink celer) 300 8.0 MODERATE 1.025 80 MODERATE ++ 1 1000 -LARGE LARGE +++ 2000 or more ++++ 8.5 LARGE +++ 1.030 160 LARGE +++ 2 or more 2000 or more
Urine Culture Results: >100,000 CFU/mL Escherichia coli 1. Record the physical, chemical, and microscopic results. 2. Determine the most likely pathogenic condition. COR 3. Explain how the patient's history and laboratory results correlate with the selected condition.
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