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Question
58-year-old obese man complains of frequent urination to his primary care physician. A dipstick urinalysis is performed in the office with results as follows: Color and Appearance Pale yellow, clear Blood Negative (Neg) pH 6.0 (4.5 - 8.0) Bilirubin Negative (Neg) S.G. 1.025 (1.005 - 1.030) Urobilinogen 0.2 (0.2 - 1.0) Glucose 500 mg/dL (Neg) Nitrites Negative (Neg) Ketones Negative (Neg) L.E. Negative (Neg)
1. Explain the abnormal value(s) on the dipstick urinalysis. The doctor ordered a non-fasting fingerstick glucose with result: 225 mg/dL
2. What diagnosis is probable given these results?
3. What other tests should be performed to confirm this diagnosis and what are the diagnostic criteria (lab values) for those tests.
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