6
{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M24_F7.jpg"}},{"insert":"\n\n"},{"insert":"A short while later, the nurse on duty calls your attention to his investigation results:\r\n\r\nWBC: 8.2 x 10^9 \/L (3.5 - 11)\r\nRBC: 5.0 x 10^12 cells\/L (4.32 - 5.72)\r\nMCV: 90 fL (80 - 100)\r\nMCH: 29 pg (27 - 31)\r\nMCHC: 35 g\/dL (32 - 36)\r\nHct: 42% (38 - 50)\r\nHb: 16.3 g\/dL (14 - 17.5)\r\nPLT: 300,000\/mm3 (150,000 - 450,000)\n\nSodium (Na+): 139 mmol\/L (135-145)\r\nPotassium (K+): 4.1 mmol\/L (3.5-5)\r\nChloride: 100 mmol\/L (95-105)\r\nCopper: 72 \u00b5g\/dL (70-150) \r\nInorganic phosphorous: 1.2 mmol\/L (1-1.5) \r\nPhosphate: 1 mmol\/L (0.8-1.5) \r\nTotal calcium: 2.4 mmol\/L (2-2.6) \r\nIonized calcium: 1.06 mmol\/L (1.03-1.23) \r\nMagnesium: 1.9 mEq\/L (1.5-2)\r\nBUN: 15 mg\/dL (7 - 20)\r\nSCr: 3.6 mg\/dL (0.6 - 1.1)\n\nThe urinalysis is as follows:\r\nColor and turbidity: Dark and cloudy\r\npH: 5.0 (5.5-6.5)\r\nSpecific gravity: 1035 (1010-1025)\r\nGlucose, Ketones, Nitrites, Leukocyte esterase, Bilirubin: Negative\r\nUrobilirubin: Small amounts \r\nProtein: +\r\nRBCs: 52 RBCs\/HPF (0-4)\r\nWBCs: 5 WBCs\/HPF (0-5)\r\nSquamous epithelial cells: 14 squamous epithelial cells\/HPF (0-20)\r\nCasts: Granular casts \r\nCrystals: Needle shaped crystals\r\nBacteria, Yeast: None\n\nThe renal ultrasound scan shows structurally normal kidneys, ureters, and bladder.\r\n\r\n\u0022What could this be, doctor?\u0022, a new and rather eager nurse asks.\n"}]}