Case 3

B

Ben, an eight year old boy, was admitted to the hospital with symptoms of weakness, anorexia, and oliguria. He recently had a streptococcal throat infection.  His urinalysis revealed:

Physical Appearance
Color-  red/amber
Clarity-  cloudy

Reagent Strip Results
pH-  6
specific gravity-  1.025
protein-  >2000 mg/dL   (SSA   4+)
Blood-  Large
Nitrite-  negative
Leukocytes-  negative
Glucose-  negative
Ketones-  negative
Bilirubin-  negative
Urobilinogen-  normal

Which image above is representative of the microscopic examination of this patient?  Why?

ANSWER