A 46-year-old woman is asymptomatic and has
A 46-year-old woman is asymptomatic and has a routine urinalysis as part of her annual physical. The urinalysis with microscopy report is as follows: Image transcription text Urinalysis, complete Result Reference range Color Dark yellow Yellow Appearance Cloudy Clear Specific gravity 1.022 1.001-1.035 PH … Show more Describe the urinalysis findings and determine possible reasons for the findings and follow-up, if necessary. Hematuria is common and can be due to benign conditions (e.g., strenuous exercise) or serious disorders (e.g., renal cell carcinoma). Review these cases and determine the most likely cause of the hematuria. Discuss data that supports your decision as well as diagnostic and treatment strategies. Case 1 A 50-year-old White man is complaining of left-sided flank pain that started about 3 hours ago. He describes the pain as sharp and intermittent. He notes that his urine is a bit darker, but he denies seeing blood. The pain started after he finished mowing a client’s lawn (he is a gardener). He denies dysuria, urgency, or fever. Past medical history: gout. Medications: allopurinol 100 mg orally every day. Allergies: no known drug allergies (NKDA). Social history: denies smoking, alcohol use, or drug misuse. Physical examination: temperature 98.5°F; pulse 96 beats per minute; respirations 20 per minute; blood pressure 138/88 mmHg. General: anxious, holding left side, and moving around; otherwise, examination is unremarkable. Urinalysis: positive for blood with 15 RBCs per HPF; remainder unremarkable. Discuss most likely cause of the hematuria. Discuss data that supports your decision as well as diagnostic and treatment strategies. SCIENCE HEALTH SCIENCE
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