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An 82 year old woman with an history of HTN treated with Vasotec (enapril maleate), and of
NIDDM, was seen in the outpatient clinic complaining of a blister on her lower lip that she said
she had been developing slowly over a year. The blister was diagnosed as a mucocele (a
mucus cyst), and an appointment was made to have it biopsied and excised at a future date. In
the course of her examination, a routine urinalysis (without the microscopic) was requested and
the urine was found to be significant for nitrite positive; and leukocyte esterase moderate. The
results prompted the request for a urine C&S. The urine C&S subsequently indicated a colony
greater than 100,000 CFU/ml with an identification of E. coli.
• What type of treatment do you think this patient was given for the condition shown here
- Antibiotic therapy with the correct dosage relating to her age.
• What results will be expected upon performing the microscopic examination of the
patient's urine?
- Urine microscopic exam will be, pus cells ranging from many to TNTC (too numerous
to count) and bacteria.
References:
http://www.labtestsonline.org/understanding/analytes/urine_culture/test.html
http://www.testsymptomsathome.com/TEC06.asp
http://adam.about.com/reports/000036_7.htm
http://kidney.niddk.nih.gov/kudiseases/pubs/utiadult/
http://adam.about.com/reports/000036_7.htm
http://www.labtestsonline.org/understanding/analytes/urine_culture/test.html
http://www.testsymptomsathome.com/TEC06.asp
http://kidney.niddk.nih.gov/kudiseases/pubs/utiadult/
http://www.drugs.com/mtm/sulfamethoxazole-and-trimethoprim.html
http://en.wikipedia.org/wiki/Nitrofurantoin
http://www.drugs.com/pdr/amoxicillin.html
http://www.rxlist.com/vasotec-drug.htm
Clinical Microscopy
(Case Analysis)
Submitted by:
Group 5
Garcia, Vixienne Geia
BSMT III-A
Submitted to:
Ms. Crizelda Liwanag
Submitted on:
January 7, 2010
Answer Key:
Research Information: