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Dr. David
Dr. David, Board Certified MD
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Experience:  Board Certified Physician
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Urine test results read headline casts 43/LPF .what's the meaning

Resolved Question:

Urine test results read headline casts 43/LPF .what's the meaning of this
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. David replied 2 years ago.
This is Dr. David

urrinary casts are cylindrical structures produced by the kidney and present in the urine in certain situations

hyaline casts are the most common type of cast, hyaline cast are solidified mucoprotein secreted from the tubular epithelial cells of individual nephrons of the kidneys

the urine test saw 43 of these casts in a low power field fiew of your urine.

this is a way of measuring now many casts there are.

severe dehydration or dysfunction of the kidneys can cause these cast to be in the urine.

I'm glad no infection was seen

she did have pneumonia?

did she have dehydration? was she in the hospital?
Customer: replied 2 years ago.

Would this cause confusion?

Expert:  Dr. David replied 2 years ago.
most likely the hyaline cast by themselves would not cause mental confusion

dehydration is more likely to cause mental confusion and can cause hyaline casts as well.

urinary tract infection is very common cause for mental confusion in the elderly, but you said no infection was found.

is she drinking enough water and fluids per day?
Customer: replied 2 years ago.

Probably not. Difficult situation as dr refuses to believe she is confused although friends & family are very worried.she is seeing dead people in room using chocolate slab as mobile phone ( the list of strange behaviour is long) I had to insist a urine sample be done.) Even staff agree with us. (in residential care home bed paid for by hospital until discharge planning in place !

Don't know what to do now.

Expert:  Dr. David replied 2 years ago.
sounds like she is definitely confused.

she might need more testing including blood test, liver tests, brain scan, neurology consult if she has new confusion.

ask her doctors for another doctor's evaluation

keep pressing for her and being an advocate for her

let me know if you have other questions.

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