Case Study
P12
Case Study 4, M. J. Malachowski, Ph.D
A 23-year -old male felt "puffy", weak, and tired for several months. He suddenly noticed his urine had a red to brown discoloration and the volume was minimal. He went to the emergency room of a nearby hospital and the following data was obtained upon examination and testing:
| Hematology: | Serum sodium | 125 mEq/L |
| . | Serum potassium | 6 mEq/L |
| . | Serum creatine | 2.6 mg/dL |
| . | BUN | 1.0 mg/dL |
| . | pH (arterial) | 7.32 |
| . | Hematocrit | 25 % |
| Urinalysis: | Appearance | Red to brown |
| . | Specific gravity | 1.025 |
| . | Blood | Positive |
| . | Glucose | Negative |
| . | Protein | Mild |
| Renal Function Tests: | GFR | 40 ml/min |
| RBF | 280 ml/min |
GFR - Glomerular Filtration Rate
RBF - Renal Blood Flow
1. What is the disorder of this individual? What situation (s) predispose an individual to this disorter?
2. Define hyponatremia and hyperkalemia.
3. What is the cause of the hyponatremia and hyperkalemia?
4. Why is there blood in the urine?
5. How do the renal functions tests for this individual compare to normal?
6. What cause the "puffy' feeling?
7. What type of treatment doe this person need?
8. Is this person a candidate for kidney dialysis? Explain your answer.
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Reference Laboratory Values
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