. Based on the following description, identify the cell: a l…

. Based on the following description, identify the cell: a large irregular shaped cell that ranges from 25 to 70 microns in diameter with a prominent central nucleus that is 8 to 10 microns in size, a cytoplasm that contains a granular appearance, with “shaggy” borders.

An outpatient who is a vegetarian and supplements her diet w…

An outpatient who is a vegetarian and supplements her diet with megavitamins is feeling poorly. She is having complaints of having to urinate frequently. She is seen by her physician who orders a routine urinalysis. The results are as follows:  Color: Dark yellow Protein: 1+ Blood: Trace Clarity: Cloudy Glucose: Negative Urobilinogen: 4 EU Specific gravity: 1.009 Ketones: Negative Nitrite: Negative pH: 8.0 Bilirubin: Negative Leukocyte esterase: Trace Microscopic     40–50 WBCs/hpf Many bacteria   10–12 RBCs/hpf       1. Why is there a discrepancy between the urine color and specific gravity?A. An old specimenB. Diabetes mellitusC. Increased beta caroteneD. Increased bacteria2. What is the most probable cause of the discrepancies in the chemical and microscopic results?A. Dilute specimenB. Increased ascorbic acidC. Specimen colorD. Specimen clarity3. The elevated pH may be caused by:A. Bacterial metabolismB. VitaminsC. Inadequate fluid intakeD. Increased fluid intake4. The positive protein is caused by:A. Glomerular damageB. Lower urinary tract infectionC. Upper urinary tract infectionD. Prerenal disorder 5. What is the patient’s probable diagnosis?A. Renal calculiB. GlomerulonephritisC. Allergic reactionD. Urinary tract infection