Bilirubin

only had one donut and two cups of coffee all day. The patient’s urine is an orange/ yellow colour and is very dark, however there is no odor exhibited from the urine, it also has a pH of 6.0. The patient’s urine has no glucose, protein, ketones, bilirubin, or nitrite. There is also no evidence of blood cells in the urine. The patient’s urine seems to be completely normal, despite the fact that it is very dark. This patient is most likely dehydrated. She finds it very difficult to produce urine,…

lwoffi. On examination, she had diffuse abdominal and renal angle tenderness. Renal function was normal, without evidence of microscopic or macroscopic hematuria. She was found to have an elevated ESR, AST, ALT and alkaline phosphatase with normal bilirubin levels. Imaging studies including abdominal ultrasound, CT abdomen and pelvis, MR angiogram of the abdomen and pelvis, were unremarkable. Work-up such as ANA, ANCA, HIV and hepatitis panel were normal. Colonoscopy and upper endoscopy were…

There are four tools of clinical examination: inspection, palpation, percussion and auscultation (“Clinical assessment,” n.d.). During a doctor’s inspection of a patient, he or she will want to look at patients with determination and knowledge of potential findings. This can be in the form of acknowledging how the patient walks, looks, acts or even dresses. Inspection is used the most to help diagnose patients with cholangiocarcinoma. According to Kowdley, Lowe, Afdhal, and Anderson (2017),…

Introduction The purpose of this case study report is to review and discuss the management and presentation of Mrs. Fiona Jones illness, following an laparoscopic cholecystectomy. Throughout this report, there will be a discussion of Mrs. Jones' condition, in regard to the pathophysiological and development of gallstones. A discussion of the potential management alternatives and patient education will also take place, that is necessary following the surgery. Possible complications and findings…

Her urine is very light yellow and bright in colour, it also appears to be chunky and cloudy. There is no odour in the urine and it has a pH of 6.5-7.0, meaning it is acidic. The urine has no glucose, or yeast present in it, as well as no nitrite, bilirubin or blood. However, it does contain a trace of protein, and a large amount of ketones. It also has a specific gravity of 1.010, which is normal. An indefinite decision is made that this patient has the disorder…

detected from it. Her urine has a pH level of 6.0 and extremely high levels of glucose. The very high levels of glucose in the urine can indicate that the plasma levels are well above normal, as in diabetes. The patient has no ketones, protein or bilirubin in their urine as well as no blood. The specific gravity of the urine is 1.025. It has been concluded that the disorder/disease this patient is diagnosed with is diabetes. Some common symptoms of diabetes are, frequent urination,…

Sheridan, who became a patient safety advocate after these two-time tragedies occurred in her family. The first incidence was with her son, Cal, readmitted to the hospital because of kernicterus or neonate’s jaundice, caused very high levels of bilirubin, leading to severe brain damage (Medline Plus, 2015). Cal developed cerebral palsy, hearing, as well as speech impairments. The second tragedy happened with Susan’s husband, Pat, who had a tumor at the base of the skull. His surgeon stated that…

1. This article relates to my practicum project because it gives an overview of what biometric screenings are and how annual biometric screenings are important to participate in, especially if your job provides the screenings for its employees. Biometric screenings give individuals lab results that they wouldn’t get at a regular doctor’s office visit unless the doctor suspected the individual to have a problem with their health. Biometric screenings are an instrument that employers use for their…

This rational will focus on neonatal jaundice with a concentration on the associated implications of breastfeeding. The relevance of this topic is undeniable when considering that exclusively breastfed babies are at an increased risk of neonatal jaundice and the high prevalence of jaundice in newborns (National Institute for Health and Care Excellence (NICE), 2010). Between 60-80% of newborns will develop some form of jaundice within the first week of life, 10% of those are likely to have…

At the age of 14, I was experiencing frequent fatigue, jaundice, loss of appetite, mental confusion, and my liver was very enlarged. My blood work was coming back with high ALT and AST levels and high bilirubin but my pediatrician didn't know what was going on with me. I was scheduled for a liver biopsy to confirm the diagnosis when I took a turn for the worse. I was in complete liver failure in September of 2008. I was listed for a liver transplant for…