colour of urine sample
urine FEME -->
pus cell & RBC –nil,
epithelial cell - <5/ul,>
question
i-Comment about the appearance of the urine (2m)
ii- What are the most likely substance responsible for (i) (4m)
iii- 2 relevant questions to be asked on patient’s arrival (4m)
iv- 2 clinical conditions that can give rise to these findings (4m)
v- 3 other relevant investigations & state the expected result (6m)
p/s:sorry!answers are not provided
2 comments:
I'll ..try to answer.It's not the definite answer though,and correct me if I'm wrong ;)
i-Comment about the appearance of the urine (2m)
The urine appeared as black colored urine.
ii- What are the most likely substance responsible for (i) (4m)
HEMOSIDERIN
since the question ask abt "substance" and not "substances"
but i wonder..(4m).
iii- 2 relevant questions to be asked on patient’s arrival (4m)
1)Adik ada makan kacang parang?
2)family history of same illness
iv- 2 clinical conditions that can give rise to these findings (4m)
1)G6PD deficiency
2)AIHA
v- 3 other relevant investigations & state the expected result (6m)
1)Screening test for G6PD
-Glucucose-6-phosphate level will be low.
2)FBP
-haptoglobin will be low
-normocytic hyperchromic red cells
3)Liver Function test
-liver enzymes ALt,AST will be normal
-LDH increase.
Also, for history,ask about hx f neonatal jaundice.
the FBP will show contracted and fragmented cells,which are 'bite' and 'blister' cells.
Post a Comment