Case Study #3

Mallory Richards, Jane Wedding, Brooklyn Knight,

Danielle Dixon
Patient
Casey Foulkes is a 23 year old
female.

She called her PCP for an urgent

appointment.

She complains of a strong,

persistent desire to urinate, a
burning sensation during
urination, lower back pain, and a
low-grade fever.
Macroscopic Analysis

A macroscopic analysis showed that Caseys urine is a dark

yellow color that almost appeared green. Her urine was also
cloudy. Dark and cloudy are abnormal traits of urine which
can indicate a health problem.
Chemical Analysis
pH 8.o (maximum value of normal range)

Specific Gravity 1.005 (normal)

Protein - (normal)

Glucose 100(5) (higher than normal)

Ketones 160(16)++++ (extremely high)

Same value for all other samples, including the control sample

After testing again for ketones with a different strip, the results showed no
Microscopic Analysis
No erythrocytes found

Leukocytes and crystals were found during a microscopic analysis

of her urine.

This is abnormal, and can be a cause of her cloudy urine.

Diagnosis
Urinary Tract Infection
Results:

Dark yellow/Green and Cloudy Urine- indication of pseudomonas

bacteria and UTI

Leukocytes and crystals

Back Pain

Fever

Pain during urination

Urinary Tract Infection

Symptoms
Burning sensation during urination

Frequent or intense urge to urinate

Pain or pressure in lower abdomen or back

Cloudy, dark, bloody, or strange-smelling urine

Tired or shaky

Fever or chills- can be a sign of the infection reaching the

kidney
Body Systems
Urinary System

Bacteria from digestive system can

be the cause of a UTI.

A UTI does not affect any other

system.
Confirming Diagnosis
Grow bacteria from urinary tract

Create images of urinary tract

Use a scope to view urinary tract

Possible Treatments
Antibiotics

Pain medication

Increase water consumption

Sources
http://www.webmd.com/women/guide/your-guide-urinary-tract-infectio
ns
http://www.mayoclinic.org/diseases-conditions/urine-color/basics/cau
ses/con-20032831
http://www.nytimes.com/health/guides/disease/urinary-tract-infection/
diagnosis.html