Urinalysis · Pathology

In a patient with suspected 'Nephrotic Syndrome', which combination of urinalysis findings is most likely?

  1. 3+ Blood, RBC casts, and pH 5.0
  2. 4+ Protein, Oval fat bodies, and Fatty casts
  3. Positive Nitrite, WBCs, and Triple phosphate crystals
  4. Specific Gravity 1.001, negative protein, and hyaline casts
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Correct answer: 4+ Protein, Oval fat bodies, and Fatty casts

Nephrotic syndrome is characterized by heavy proteinuria (>3.5g/day), which leads to the presence of fat in the urine (lipiduria). Microscopic findings include fatty casts and oval fat bodies.

Difficulty: Medium Question 16 of 20

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