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When 70 year old woman who is bed rest, it was observed peoples choice credit that the urine in the catheter bag has become purple as the picture on the left. Considering that this situation is happening for the first time what according to you is the most likely cause?
[Accordions type = "toggle" handle = "pm" space = "yes"] [accordion title = "See answer" state = "close"] A. Purple Urine Bag Syndrome Although the name imply a change in the color of urine in PAD case of more pronounced peoples choice credit coloration on the catheter and bag.
[Accordions type = "toggle" handle peoples choice credit = "pm" space = "yes"] [accordion title = "See peoples choice credit answer" state = "close"] before certain risk factors peoples choice credit need to know how to form this characteristic color. Purple Urine Bag Syndrome is a discoloration of urine in people who have catheters peoples choice credit and urinary tract infection. Tryptophan in the diet, which is taken, is metabolized to indole. While passing peoples choice credit through the enterohepatic circulation indole were metabolized to indoxyl sulphate in the liver is converted to indoxyl. It is excreted through the urine. In an alkaline environment of the urine in the presence of a bacterial infection which is colonized catheter and bag, the bacteria convert indoxyl to indigo (blue) and indirubin (red). By mixing both the pigment forming the purple color of the bag.
Risk factors are lack of exercise, obstipation (which contributes to the incorporation of tryptophan in the enterohepatic circulation), long residence time of the catheter (to be able to colonize the bacteria). - Frequently bacteria that can lead to this condition are Providencia peoples choice credit stuartii, Providencia rettgeri, Klebsiella pneumoniae, Proteus mirabilis, Escherichia coli, Morganella morganii, and Pseudomonas aeruginosa.
[Accordions type = "toggle" handle = "pm" space = "yes"] [accordion title = "See answer" state = "close"] A. Regular replacement of the catheter, and the observance of good hygiene when handling
Two organ-bloodless operations of RCC done today in Tokuda
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Medical students "made" Teddy Bear Hospital April 22, 2015
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