06-25-2014, 06:08 AM
A 72-year-old man has decreased urine output 2 day after admission to the hospital for tx of cholecystitis. His urine output has been 15 mL/h over the past 3 hours. On admission, results of lab studies were consistent w/ Gram Negative bacteremia and DIC. He's currently receiving IV fluids, Cefoxitin and Gentamicin. His temp is 38.5 C, pulses 110/min, RR 24/min, BP 90/64 mmHg. Abdominal exam shows mild right upper quadrant tenderness. His serum Cr [] has increased from 1.5 mg/dL 2 days ago to 3 mg/dL. This patient is most likely to have which of the following urinary set of findings?
Blood Protein RBC WBC Casts Other findings
A) None None None None Hyaline None
B) None 4+ None None None Oval Fat Bodies
C) Trace 1+ 0-5 >50 None WBC clumps
D) 1+ 1+ 0-5 0-5 Pgmented Granular Renal Tub Epithelial Cells
E) 1+ 1+ 5-10 10-20 None Eosinophils
F) 3+ 1+ >50 None RBC None
G) 4+ 1+ None None Pigmented Granular Squamous Ep Cells
H) 4+ 1+ 10-20 None None None
dysmorphic
My answer was C and it was wrong.
Blood Protein RBC WBC Casts Other findings
A) None None None None Hyaline None
B) None 4+ None None None Oval Fat Bodies
C) Trace 1+ 0-5 >50 None WBC clumps
D) 1+ 1+ 0-5 0-5 Pgmented Granular Renal Tub Epithelial Cells
E) 1+ 1+ 5-10 10-20 None Eosinophils
F) 3+ 1+ >50 None RBC None
G) 4+ 1+ None None Pigmented Granular Squamous Ep Cells
H) 4+ 1+ 10-20 None None None
dysmorphic
My answer was C and it was wrong.