Urinalysis Date and disease corrleation

Question 1

glomerular disease

Answer 1

usually due to glomerular basement membrane (immunologic disease, metabolic disease, hereditary disease); basement membrane damage causes morphologic changes, altered glomerular function, increased permeability allowing leakage of cells and protein into urine

Question 2

Glomerular injury clinical findings

Answer 2

proteinuria, heamturia, oliguria, edema, hypertension, blood will have hypoproteinemia, and azotemia

Question 3

acute glomerulonephritis

Answer 3

usually after streptococcal infection, antibody mediate: blood cultures negative. Clinical findings: sudden onsent, fever, malaise, nausea, oliguria, edema, mild hypertension

Question 4

Acute glomerulonephritis urinalysis

Answer 4

physical: yellow, hazy
chemical: blood, proteinuria (mild)
microscopic: RBC, WBC, RTE, Casts (RBC–>hemoglobin–>granular)

Question 5

nephrotic syndrome

Answer 5

selective filtering capability of glomerulus is lost, pitting edema, azotemia, hypertension, and oliguria

Question 6

nephrotic syndrome urinalysis

Answer 6

physical: yellow, hazy (cloudy)
chemical: blood, proteinuria (severe),
microscopic: RBC, WBC, RTE, OFB, free fat, casts

Question 7

Diabetes mellitus

Answer 7

polyuria, polydipsia, polyphagia, nocturia

Question 8

diabetes mellitus urinalysis

Answer 8

physical: yellow, hazy
chemical: glucose, proteinuria, ketouria.
microscopic: RBC, casts, maybe yeast

Question 9

altered tubular function is caused by

Answer 9

reabsorption-secretion capability lost, concentrating-diluting capability lost

Question 10

altered tubular function results in

Answer 10

build up of waste products in bloodstream, loss of essential substances into urine

Question 11

renal glycosuria

Answer 11

glucose in urine, renal threshold not exceeded

Question 12

renal glycosuria urinalysis

Answer 12

glucose, cysteine cyrstals