What is your diagnosis and what is the cause of this pathology?

Write a two-page paper reflecting on the data you collected and analyzed through the case study. How will this data warehouse be useful to you as a professional nurse?
November 30, 2020
What is the ideal body weight of a female who was 65” and has a left BKA?
November 30, 2020

What is your diagnosis and what is the cause of this pathology?

What is your diagnosis and what is the cause of this pathology?

A 10 y/o male present to his pediatrician as a follow-up to a strep throat infection two weeks earlier. The Px shows no signs of the strep infection, however, the physician notes pitting edema in the lower extremities. Continuing the physical exam, the physician found the Px’s BP was 154/86 with a heart rate of 82. A urine sample was taken and the urine was amber colored and frothy with visible sediment. The physician admitted the Px to the hospital and blood and urine tests were run.

Blood

Urine (24 hr collection)

[Na+]p

126 mEq/L

pH

5.0

[K+]p

4.3 mEq/L

Glucose

0

[HCO3-]p

25 mEq/L

RBC

7 p/hpf*

[Cl-]p

89 mEq/L

Protein

4g/24hr

Glucose

84 mg/dL

creatinine

485 mg/dL

pH

7.4

volume

800 mL

PCO2

39 mmHg

PAH

485 mg/dL

[creatinine]

4.1 mg/dL

Uosm

525 mOsm

PAH

0.013 mg/mL

* p/hpf = cells per high powered field

(use cellular mechanisms and diagrams)

a) From these data, what part of the nephron do you think is most affected? Defend your answer. (20pts)

b) What is your diagnosis and what is the cause of this pathology? (10pts)

c) Why is the Px exhibiting high blood pressure? (15 pts)

d) How would you treat this Px? (5pts)

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