The document discusses a case analysis involving the urinalysis results of three patients. It provides answers to questions about each patient's symptoms and test results, and what they may indicate. It also addresses questions about the purpose of a control sample and how medications can affect urinalysis results.
The document discusses a case analysis involving the urinalysis results of three patients. It provides answers to questions about each patient's symptoms and test results, and what they may indicate. It also addresses questions about the purpose of a control sample and how medications can affect urinalysis results.
The document discusses a case analysis involving the urinalysis results of three patients. It provides answers to questions about each patient's symptoms and test results, and what they may indicate. It also addresses questions about the purpose of a control sample and how medications can affect urinalysis results.
The document discusses a case analysis involving the urinalysis results of three patients. It provides answers to questions about each patient's symptoms and test results, and what they may indicate. It also addresses questions about the purpose of a control sample and how medications can affect urinalysis results.
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GOMEZ, ROSHIMAE JYLE B. SEPT.
29, 2021 ROMERO, ALIYAH KAYE L. BSMLS 2-C
ACTIVITY 2: CASE ANALYSIS
LAS #6: Biochemistry Laboratory Urinalysis
Questions:
1. Patient X is an overweight 36 year old male. He has recently lost a significant amount of weight though he is constantly hungry and thirsty. The patient also complained of feeling tired and run down frequently. Based on the symptoms described and the result of the patient’s urine tests, what do you believe is the most probable diagnosis?
Answer: The patient’s symptoms of unexplained weight loss from being
overweight, extreme hunger and thirst, and fatigue points out the symptoms of diabetes mellitus. The presence of glucose in the urine and its lower pH level can also support the probability of the development of diabetes. This metabolic disorder is characterized by an abnormality of how the body uses blood sugar. This sugar or glucose is highly significant for the energy of the different parts of the body. That is shy in this patient’s case, he suffers the feeling of being run down because energy supply is not normal anymore.
2. Patient Y is a 21 year old female that has been experiencing a fever and nausea. She is a vegetarian but while sick has had trouble keeping both food and liquids down. Her doctor suspects it is a bacterial infection. Are there any symptoms in her urine test results to support this?
Answer: Fever, vomiting, presence of protein and dehydration as seen in a darker
color of her urine due to inability to swallow food and enough liquid could be a sign of a bacterial infection. These infections cause fever because the body is fighting against a foreign substance or in this case—bacteria. Her pH could be influenced by her vegan diet and also could be again due to infection. Usually, protein in urine is harmless to most people. However, in some cases, it can be caused by a serious illnesses or even a simple bacterial infection. This patient has protein in her urine and she may have it from medications or poor kidney performance or the high probability of Urinary Tract infection (UTI).
3. Patient Z is 65 year old female in for a routine checkup. She is not complaining of any symptoms and generally feels fine. Is there anything in the results of her urine test that a doctor may want to investigate further?
Answer: The presence of calcium could suggest that a person is suffering from a bone disease. The doctor may want to know more about her diet and whether she takes any nutritional supplements, such as calcium pills. While that may not be reason to panic right now, the doctor should keep an eye on her calcium levels and see if she has any other indications of a bone condition like osteoporosis.
4. ) What was the purpose of the control urine sample in this investigation?
Answer: For basis and as a determinant, the control sample placed a “negative” for each test, making it easier to read a positive result since it is not possible to know the content of the sample prior to testing. 5. Does urinalysis prove the presence of disorder or disease? Explain.
Answer: Although urinalysis provide clues to detect and understand how a body is doing, it does not provide the wholesome answer that there is a presence of illnesses in the body. The composition of urine might fluctuate dramatically even within a single day. Diet, exercise level, environmental circumstances, medicine, dehydration and other factors can all change the composition of urine at any particular time. Urinalysis does not guarantee diseases but it is best used as a screening tool that can either confirm or disprove the need for more reliable medical tests.
6. If a patient will take an Ascorbic Acid prior to Urinalysis, what is the possible effect on the results? Explain.
Answer: The reagent pads for blood, glucose, nitrite, and bilirubin may not react adequately when there is a high quantity of ascorbic acid in a urine sample. When testing blood levels at low levels, this is extremely challenging. When collecting a urine sample, physicians should inquire about the patient's vitamin C intake. Higher levels of ascorbic acid in urine samples might result in false negative results in a range of urine tests, putting patients at risk of missing clinical findings, especially when it comes to glucose and hemoglobin.
7. How medications like antibiotics such as aminoglycosides, cephalosporin and penicillin’s
affect the urinalysis?
Answer: Antibiotics affect urinalysis results by causing false positives for protein and decreasing sugar levels in the urine.
