A 30-year old woman presents with a fever, nausea, and flank…
A 30-year old woman presents with a fever, nausea, and flank pain. A random midstream clean catch specimen shows the following: Physical Exam Chemical Exam Microscopic Exam Color: yellow SG: 1.015 0-2 RBC/hpf Clarity: cloudy pH: 7.5 25-50 WBC/hpf Leukocyte est,: pos 0-2 hyaline casts/lpf Blood: trace pos, speckled 2-5 WBC casts/lpf Nitrites: pos few squamous/lpf Bili: neg 0-2 transitional/hpf Protein: pos 3+ bacteria/hpf Ketones: neg 2-5 calcium oxalate/hpf Glucose: neg Ascorbic Acid: neg A. Based on the above symptoms and urinalysis, what condition do you think is the most likely causing this woman’s symptoms? Be as specific as possible for full credit. B. List two findings (one in the chemical exam and one in the microscopic exam) that supports this specific differential diagnosis
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