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A 78-year-old woman with a history of hypertension, aortic thoracic graft, and e

ID: 480351 • Letter: A

Question

A 78-year-old woman with a history of hypertension, aortic thoracic graft, and esophageal reflux disease complained of fever (100 degree F) and weakness. She had been treated 3 weeks before at the hospital for a urinary tract infection. She was admitted to the hospital for a diagnostic workup and transfusion. Her laboratory results are as follows: The patient's renal function continued to decline, and she was put on hemodialysis. A renal biopsy was performed that showed end-stage crescentic glomerulonephritis. Two days later, the patient sustained a perforated duodenal ulcer, which required surgery and blood transfusion. Subsequently, she developed coagulopathy and liver failure. Her condition continued to deteriorate in the next few days, and she died following removal of life support. Looking at the urinalysis, what is the significance of the results of 2+ protein and > 25 RBCs? What is the most likely cause of glomerulonephritis? Why was the patient put on hemodialysis?

Explanation / Answer

2, Glomerulonephritis is inflamation of the glomeruli, if your glomeruli damaged your kidney are stopped working properly .

3, Hemodialysis is process man made membrane( dialyzer) to remove the wastes, such as urea from the blood& restore the proper balance of electrolytes in the blood, elimanate extra fluid in the body.

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