Flashcards in deck_1665818 Deck (5):
What are the three most likely causes of dark brown urine in a woman?
UTIAcute tubular necrosis``
What investigations are done to assess renal status?
Dipstick of urine - blood, protein. MSU - exclude urine infection; find out if urine suggests nephritis - RBCs in urine, red cell cast Serum creatinine and urea - exclude acute renal failure Serum sodium and potassium - exclude hyperkalemia which may be urgently life threatening Ultrasound of kidneys - ensures no evidence of CKD, exclude severe parenchymal renal infection, abscess
What investigations are done to assess infection?
Haemoglobin - normochromic anaemia White cell count and differential - neutrophilia - but not specific for infection Blood culture Chest radiograph - pneumonia can occur without physical sign CRP - along with other acute phase proteins not diagnostic; often raised in immune disease, higher in infection MSU and blood cultures [repeated] - no growth Hb 100.5 g/L, WCC 16x109/L - 90% neutrophils CxR – normal
How can lupus be investigated?
Anti nuclear antiboidiesLow C3 and C4