1.A 22-year-old woman is admitted to hospital because of swelling…

Question 1.A 22-year-old woman is admitted to hospital because of swelling… 1. A 22-year-old woman is admitted to hospital because of swelling of the legs and a weight gain of 4 kg (10 lbs) over the past week. She has felt extremely tired for the past month. On physical examination she is afebrile. Her blood pressure is 145/95 mm Hg. A chest radiograph shows marked pleural effusions. Macroscopic Urinalysis:  Characteristic Result Color Yellow Appearance Cloudy Leukocyte Esterase Negative Nitrite Negative pH 6.0 Protein 3+ Blood 2+ Specific Gravity 1.020 Ketones Negative Glucose Negative Bilirubin Negative     Characteristic Result WBC/hpf <5/hpf RBC/hpf 5-10/hpf Casts Many hyaline, WBC, RBC, granular casts Other Mucus, renal tubular cells     Microscopic Urinalysis:   Questions: 1. What is suggested by these findings?Nephritis, because of the appearance of the White blood cell, red blood cell and several cast 2. What are possible underlying disease processes?It is possible Systemic lupus3. What additional laboratory tests would be helpful? Renal Biopsies 4. What is the patient's disease?   Systemic lupus erythematosus (SLE) with lupus nephritis    3. A 48-year-old man has noted increased thirst and urine output, even getting him up at night, along with mild back pain. On physical examination he is afebrile, but his blood pressure is 160/100 mm Hg. There is right costovertebral angle tenderness. Family history reveals that his father died in his early 50's of "kidney" disease. An intravenous pyelogram (IVP) shows no hydronephrosis or filling defects, but both his kidneys are markedly enlarged. Macroscopic Urinalysis:    Microscopic Urinalysis:   Questions: 1.    What do the historical findings suggest?2.    What laboratory tests would be useful?3.    If you were to give the patient anti-diuretic hormone (ADH) or if he didn't drink any water for 12 hours, and then the urinalysis was repeated and the specific gravity was still 1.010, what would this suggest?4.    Why do you think the kidneys are enlarged?5.    What is the patient's disease? Health Science Science Nursing Share QuestionEmailCopy link Comments (0)