What is the disorder of this individual? What condition(s) predispose an individual to this disorder? Define hyponatremia and hyperkalemia. What is the cause of the hyponatremia in this patient? Why is there blood in the urine? How do the renal function tests for this individual compare to normal? What caused the puffy feeling? What type of treatment does this person need? Is this person a candidate for kidney dialysis? Explain your answer.

Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
Section: Chapter Questions
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Renal Case Study

A 26-year-old felt puffy, weak, and tired for several months. She suddenly noticed her urine had a red to brown discoloration and the volume was minimal. She 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

Trace

Renal Function Tests:

GFR (glomerular filtration rate)

40 mL/min

RBF (renal blood flow)

280 mL/min

 

  1. What is the disorder of this individual?
  2. What condition(s) predispose an individual to this disorder?
  3. Define hyponatremia and hyperkalemia.
  4. What is the cause of the hyponatremia in this patient?
  5. Why is there blood in the urine?
  6. How do the renal function tests for this individual compare to normal?
  7. What caused the puffy feeling?
  8. What type of treatment does this person need?
  9. Is this person a candidate for kidney dialysis? Explain your answer.
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