1)  What condition is this patient most likely suffering from and what results support this diagnosis?
                   
            This person is most likely suffering from chronic pyelonephritis.  This diagnosis is based on the fact that the leukocyte esterase stix test result was moderate, the blood stix result was small, the protein stix result was 100mg/dL,  the nitrite test was positive indicating the presence of bacteria, and the specific gravity was low.  Also, the symptoms and history of the patient would indicate probable pyelonephritis as well.  The presence of WBCs, RBC, granular casts, bacteria, and renal tubular epithelial cells also correlate with a diagnosis of chronic pyelonephritis.

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