Urinalysis

Patient Case Studies

follow the slides to complete this activity
Your job is to diagnose each patient.
1. The next slide shows you the urinalysis results for all 6 patients.
a. The top square tests for leukocytes. The bottom square tests for glucose. Those and all
others are labeled on the left side.
b. The COLOR tells you the LEVEL. You will need to take your best estimation as to what color
it matches.
2. You will be using these urinalysis results and the upcoming patient
information, try to diagnose each patient.
3. Your diagnosis should include 3 pieces of evidence to support the claim.
4. Diagnosis will be turned in on a separate Google Doc
Patient 4 should be
negative for glucose
You have learned the basics of urinalysis. Now let’s meet your patients.

Patient 2: Jace Nickels

Patient 1: Lisa Julias
An 18-year-old male comes in for his annual
A 40-year-old, overweight, pregnant woman
physical. He is a cross-country runner who is
comes in for her routine appointment. She is 28
currently training to run a marathon. He feels
weeks pregnant, complaining that she is
healthy and energized and has no complaints
constantly thirsty and saying that she spends all
about his health. In fact, he just finished a rather
of her time running to the bathroom. She has
strenuous training session. Microscopic
been feeling more lethargic than normal lately
analysis of his urine does not reveal anything
and she has lost some weight. No abnormal
abnormal.
cells were found in her urine sample.
You have learned the basics of urinalysis. Now let’s meet your patients.

Patient 4: Peyton Hill

Patient 3: Amy Chelsea
A 15-year-old female comes in for her annual
A 23-year-old female comes in for an
physical. Her mom informs you that she is
emergency appointment. She complains of a
worried because the girl has been on a strict
strong, persistent desire to urinate, a burning
diet and has lost a great deal of weight in the
sensation during urination, lower back pain and,
past few months. She has very little energy and
a low-grade fever. Microscopic analysis of her
does not seem interested in hanging out with
urine reveals leukocytes and some crystals.
her friends. The girl mentions that she has been
losing some hair lately and she has not
menstruated over three months. Microscopic
analysis of her urine does not reveal anything
abnormal.
You have learned the basics of urinalysis. Now let’s meet your patients.

Patient 6: Helen Phillips

Patient 5: Chase Alexander
A 60-year-old woman comes in for her annual
A 9-year-old male is brought in by his mother
physical. Even though she usually has a lot of
because he is complaining of constant thirst
energy, she has been unusually tired for the
and frequent urination. The problem is so bad
past few weeks. She occasionally feels dizzy
that the boy is having trouble sleeping because
and she is finding it harder to sleep through the
he is constantly getting up to use the bathroom.
night. Her ankles and feet are swollen, and her
A few times, he has even wet the bed. The
face looks a bit puffy. She frequently feels a
mother suspects that something may be wrong
burning pain in her lower back, just below the
with his pituitary gland as there is a family
rib cage. She has noticed that her urine is
history of pituitary problems. Microscopic
darker in color lately. Preliminary workup shows
analysis of his urine does not reveal anything
she has elevated blood pressure. Some red
abnormal.
blood cells are present in her urine.
What next? Tips -
*If you are diagnosing a person with diabetes
1. Review the information. you MUST state whether it is type 1, type 2 or
- Urine test strips gestational.
- Patient background info
- Patient symptoms *One patient’s urine should be ALMOST
TOTALLY NORMAL. Just state that and explain
what the minor issues are and the cause.

1. Then make a diagnosis. You will write the *Use as much evidence as possible (from
diagnosis on the provided Google Doc. background/symptoms AND test results) to
You must include 3 pieces of evidence to defend your diagnosis.
support your claim.