Man with Excessive Urination  

    Male patient presents with nausea, muscle pain, fatigue, and excessive urination. Note: specific gravity in this case has been tested more than once. It has remained fixed at 1.010

Urinalysis Results:


Chemical:
Color
Yellow
Appearance
Hazy
Specific gravity
1.010
pH
6.5
Protein
> 2000mg/dL
Glucose
Neg
Ketones
Neg
Bilirubin
Neg
Blood
Small
Urobilinogen
Normal
Nitrite
Neg
Leukocytes
Small

Microscopic:

RBCs: 10-20/hpf
WBCs: 2-5/hpf
granular casts: 10-20/lpf
renal epithelial cells: 5-10/hpf
red blood cell casts: 10-20/lpf


Question 1:  What is the most probable disease for this patient?

                                                                            ANSWER
                                                                      



Question 2
Question 3
Question 4
Question 5