Instructions
You are a medical student on placement in the emergency department. Your next patient is Bol Kuol, 23, presenting with painful thighs and dark urine. His triage urine dipstick is printed for you.
Take a focused history
Outline to the examiner:
- Your findings
- Your interpretation of the results
- Your most likely diagnosis
- Next steps in management, including relevant investigations
- You do not need to examine the patient; the examiner will give you any findings you ask for
- Ask the examiner for any further results you want
- You do not need to write a drug or fluid chart
Triage urine dipstick
| Item | Value | Reference range |
|---|---|---|
| Appearance | Dark brown, clear | - |
| Leucocytes | Negative | Negative |
| Nitrites | Negative | Negative |
| Protein | 1+ | Negative |
| Blood | 4+ (large) | Negative |
| Glucose | Negative | Negative |
| Ketones | Trace | Negative |
| pH | 5.5 | 4.5-8.0 |
| Specific gravity | 1.030 | 1.005-1.025 |