|
Part 1
Part 2
Part 3
Part 4
GU Index
Library
Olympus
Web
RadWeb
Main Index
Reference
Values
|
The patient is a 27 year
old female with a history of spina bifida, neurogenic bladder and diabetes
mellitus who presented to her general practitioner on 5-30-02. She became
febrile, lethargic and irritable over the course of several days and her
chronic back pain became notably worse. On the evening of 6-1-02 the patient
was transported to the Hospital after being unable to stand or walk
upon waking.
| Lab Name |
Result/Unit |
Ref. Interval |
| Vitals on Admission |
|
|
| Temperature |
37.4 |
|
| Heart Rate |
100 |
|
| Blood Pressure |
95/56 |
|
| Saturation |
99% on RA |
|
| |
|
|
| White Blood Cell Count |
13.89 k/uL with 26% bands, 63% segs. |
3.20-10.6 |
| Hematocrit |
45 % |
34.3-45.2 |
| Platelets |
229 K/uL |
177-406 |
| |
|
|
| Na |
140 mmol/L |
136-144 |
| K |
4.2 mmol/L |
3.3-5.0 |
| Cl |
111 mmol/L |
98-107 |
| Carbon Dioxide |
<5 mmol/L |
22-29 |
| Glucose |
75 mg/dL |
64-128 |
| Blood Urea Nitrogen |
45 mg/dL |
7-20 |
| Creatinine |
3.7 mg/dL |
0.7-1.1 |
| |
|
|
| Urinalysis |
|
|
| Specific Gravity |
1.012 |
|
| pH |
6 |
|
| Protein |
100 |
|
| Ketones |
Neg |
|
| Bilirubin |
Small |
|
| Blood |
26 |
|
| WBC |
51 |
|
| Nitrites |
Neg |
|
| Bacteria |
Positive/Many |
|
| |
|
|
| pH/PaCo2/PaO2 |
6.9/15/209 |
7.35-7.45/ 35-39 / 61-82 |
| Bicarbonate |
3.2 mEq/L on 100% oxygen |
19-25 |
1. What is your diagnosis?
2. What risk factors does this patient have for urinary tract infection?
|
|
.jpg)
