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Free Open Access Short Answer Questions for ED Fellowship Study
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Case: Urinalysis
A 56-year-old female presents to your emergency department with generalised abdominal pain, myalgia and mild dysuria which has been present for 3 days.
She has no previous medical history and is on no medications.
On exam:
- 37.0°C
- 115 bpm regular
- 24 brpm unlaboured
- BP 118/82 mmHg, mean 94 mmHg
- Alert, normal behaviour, wide awake
- 98% room air, no device
- HSD
- AE right = left
- Abdo soft, non-tender epigastrium
- No suprapubic tenderness
- No calf tenderness
- No renal angle tenderness
ECG: sinus tachycardia.
Her urine analysis is shown below:
| Renal calculi | Absent |
| Specific gravity | 1.025 |
| pH | 5.5 |
| Leukocytes | 0 (Neg) |
| Menstruating | No |
| Blood | 5–10 (+) |
| Nitrate | Negative |
| Ketones | Negative |
| Bilirubin | 1 (+) |
| Urobilinogen | Normal |
| Protein | 300–500 (+++) |
| Glucose | Negative |
| Ascorbic acid | Negative |