Urinalysis · Pathology

A patient presents with 'Isosthenuria'. What does this imply about their renal function?

  1. They have excessive glucose in the urine
  2. The kidney can no longer concentrate or dilute urine
  3. The urine is highly concentrated due to severe dehydration
  4. There is a total absence of urine production
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Correct answer: The kidney can no longer concentrate or dilute urine

Isosthenuria is the excretion of urine with a constant specific gravity (usually 1.010) regardless of fluid intake. It reflects significant loss of renal tubular function, as the urine matches the specific gravity of the initial glomerular filtrate.

Difficulty: Medium Question 19 of 20

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