Renal Case Histories - Case 22

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 were obtained upon examination and testing:

Hematology:
Serum sodium 125 mEq/L
Serum potassium 6 mEq/L
Serum creatinine 2.6 mg/dL
BUN 24.0 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 (glomerular filtration rate) 40 mL/min
RBF (renal blood flow) 280 mL/min

1a. What is the disorder of this individual?

1b. What situation(s) predispose an individual to this disorder?

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 function tests for this individual compare to normal?

6. What caused the puffy feeling?

7. What type of treatment does this person need?

8. Is this person a candidate for kidney dialysis? Explain your answer.

Please enter your e-mail address:

If you would like your answers submitted to your instructor, please provide his/her e-mail address (or you must re-enter your e-mail address here for this form to work):

Please enter your full name:

A copy of your answers will also be submitted to your e-mail address so you may print the information.

Table of Contents

feedback form | permissions | international | locate your campus rep | request a review copy

digital solutions | publish with us | customer service | mhhe home

Copyright ©2001 The McGraw-Hill Companies.
Any use is subject to the Terms of Use and Privacy Policy.
McGraw-Hill Higher Education is one of the many fine businesses of the The McGraw-Hill Companies.