this urine was brought to lab as drop off for UA and culture | Figure 1

This urine was brought to the lab as a drop-off for UA and culture; it was the consistency of Jell-O. I could smell it before I even opened the container. It was collected via cath, and the home health nurse said it took 30+ minutes to collect and the patient's bladder was still full. Impossible to draw into UA/culture vacutainers. Had to be scooped. Worst I've ever seen.

Similar Cases

Lateral (image 1) and AP (image 2) from a voiding cystourethrogram in a neonate show the sequela of a posterior urethral valve (arrow). The bladder is elongated and trabeculated. There is unilateral grade 5 vesicoureteral reflux with a dilated and tortuous right ureter (arrowhead) and ballooning and irregularity of the renal collecting system (dashed arrow). Posterior urethral valves are a congenital anomaly affecting the most common cause of bladder outlet obstruction affecting neonates. It is the most common reason for renal transplant in young children.

A longitudinal image of the lower ureter (arrowhead) and bladder demonstrates a small ureterocele (arrow), an outpouching of the distal ureter into the urinary bladder. When associated with the duplex collecting system, the ureterocele typically involves the upper pole moiety.

An obsessively oval bladder stone here! Or maybe it is an egg. Patient had obstructive lower urinary tract symptoms. Our senior took the stone for his personal collection.

79 y.o. male with history of gross hematuria. CT shows bladder mass causing obstruction of the right ureter as well as a mass in the right upper pole collecting system of the kidney. This kidney is partially bivalved.

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Patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family. Are there any features in this EKG that would warrant further work-up or is this just a pediatric EKG?