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Gilbert Program in Medical Simulation Simulation Casebook Harvard Medical School Draft of the 1 st edition (2011), updated 3/2/12 URINALYSIS Reference Range Color Tea colored Pale to dark yellow, amber pH 7.3 5 – 8 Specific gravity 1.002 1.002 – 1.035 Protein Negative Negative/trace Glucose Negative Negative Ketones Negative Negative Nitrites Negative Negative Bilirubin Negative Negative Blood Negative Negative Leukocyte Negative Negative Urobilinogen 0.3 0.2 – 1.0 Ehr U/L MICROSCOPIC URINALYSIS Reference Range Red blood cell 7.0 0 – 2/HPF White blood cell 0.0 0 – 2/HPF 106
Gilbert Program in Medical Simulation Simulation Casebook Harvard Medical School Draft of the 1 st edition (2011), updated 3/2/12 XI. Appendix B: Teaching Materials http://www.nygastrodoctor.com/id1.html XII. Appendix C: Interesting articles to discuss/reference a) Zuccaro, G. Management of the adult patient with acute lower gastrointestinal bleeding. Am J Gastroenterol 1998; 93:1202. b) Lim J, Ahmed A. Endoscopic Approach to the Treatment of Gastrointestinal Bleeding. Techniques in Vascular and Interventional Radiology 2004; 7(3):123-129. c) Davila, RE, Rajan, E, Adler, DG, et al. ASGE Guideline: the role of endoscopy in the patient with lower-GI bleeding. Gastrointest Endosc 2005; 62:656. d) Witting M, et al. Usefulness and Validity of Diagnostic Nasogastric Aspiration in Patients without Hematemesis Annals of Emergency Medicine 2004; 43: 525-532. e) Olds, GD, Cooper, GS, Chak, A, et al. The yield of bleeding scans in acute lower gastrointestinal hemorrhage. J Clin Gastroenterol 2005; 39:273. 107
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