Data correlation in Renal Disease

Question 1

Glomerular disease is most often due to damage to what basement membrane?

Answer 1

Glomerular basement membrane- Increased permeability allowing leakage of cells and protein into urine

Question 2

Urinalysis of Acute Glomerulonephritis?

-Physical, chemical, and microscopic

Answer 2

Physical: Yellow, hazy
Chemical: +blood, mild proteinuria
Micro: RBC, WBC, RTE, Casts (RBC->hemoglobin->granular)

Question 3

You would have a(n) increase/decrease in BUN and creatinine in acute glomerulonephritis?

Answer 3

INCREASE

Question 4

Urinalysis of Nephrotic syndrome?

-Physical, chemical, and microscopic

Answer 4

Physical: Yellow, hazy
Chemical: +blood, severe proteinuria
Micro: RBC, WBC, RTE, OFB, free fat droplets, and casts (granular, fatty, waxy, RTE)

Question 5

Urinalysis of Diabetes Mellitus?

-Physical, chemical, and microscopic

Answer 5

Physical: Yellow, hazy
Chemical: +glucose, mild-moderate proteinuria
Micro: RBC and casts. Yeast could be possible

Question 6

What is the most common cause of renal failure

Answer 6

Necrosis of tubular epithelium

Question 7

Urinalysis of Acute Tubular Necrosis?

-Physical, chemical, and microscopic

Answer 7

Physical: Yellow, hazy.
Chemical: Mild proteinuria, +blood, low Specific gravity.
Micro: RBC, WBC, RTE, Casts (RTE, granular, waxy, broad)

Question 8

True or False? Any bacterial or fungal agent can cause UTI?

Answer 8

True

Question 9

True or False? ~85% of lower UTI caused by gram-positive rods?

Answer 9

False- Gram-negative rods (fecal E. coli)

Question 10

Urinalysis of Lower UTI?

-Physical, chemical, and microscopic

Answer 10

Physical: yellow, hazy (cloudy, turbid).
Chemical: +protein (<.5 g/24hrs), _leukocyte esterase, +nitrite, +blood.
Micro: WBC*, bacteria, RBC, Transitional epithelial cells (cystitis), and absence of casts (b/c casts form IN kidney).

Question 11

What is the most common upper UTI?

Answer 11

Acute pyelonephritis

Question 12

Urinalysis of Acute Pyelonephritis?

-Physical, chemical, and microscopic

Answer 12

Physical: Yellow, hazy (cloudy, turbid).
Chemical: +protein (<1 g/24hr), _leukocyte esterase (WBC), +nitrite, +blood, specific gravity is normal to low.
Micro: WBC* (may see clumping), bacteria, RBC, RTE, and casts (WBC, granular, RTE, waxy).

Question 13

Urinalysis of Yeast Infection?

-Physical, chemical, and microscopic

Answer 13

Physical: Yellow, hazy (cloudy).
Chemical: +WBC?, +blood?
Micro: Yeast*, mycelial elements, RBC?, WBC?

Question 14

Yeast infection are commonly caused by what species?

Answer 14

Candida

Question 15

Why are there no flashcards on the microscope?

Answer 15

Because it’s boring to learn about and you can look through that ppt. on your own. Also remember to look at the graded worksheet online for some questions!