Case Study #2: Burning urine
40
year old Mrs. Jones goes to her physician and complains about extreme
burning sensation and irritation when urinating. She also complains of
frequent urination especially at night and urinating "bloody"
urine last night. The doctor orders urinalysis test and put her on some
medications to relieve her from symptoms.
| Color |
Yellow |
Protein |
Negative |
Blood |
Moderate |
| Appearance |
Hazy |
Glucose |
Negative |
Urobilinogen |
0.2 |
| Specific Gravity |
1.030 |
Ketones |
Negative |
Nitrite |
Positive |
| pH |
8.0 |
Bilirubin |
Negative |
Leukocyte |
+3 |
Microscopic
50-100 rbc/hpf Few squamous epithelial cells
20-50 wbc/hpf Few unidentified orange crystals
Moderate bacteria Moderate transitional epithelial cells
Triple phosphate crystals
1. What is the probable diagnosis for this patient? Answer
2. Explain the cause of burning sensation during urination. Answer
3. What is the probable identification of the orange crystals? Answer
4. Does gender affect the risk of acquiring this condition? Answer
5. Is there is a correlation or a discrepancy with the presence of triple phosphate crystals? Answer
***Go to case study #1***