Question

Bobby Williams, age 8, is admitted through the emergency department with a ruptured appendix. Although surgery is successful, Bobby’s recovery is slow, and the physicians are concerned about his health prior to the ruptured appendix. Bobby’s mother states that he has always been noticeably underweight despite a balanced diet and strong appetite and that his younger brother exhibits similar characteristics. A note in his chart from the first postoperative day reports that the evening nurse noticed a purple coloration on the urinary catheter bag. What additional testing should be performed?

A. Ferric chloride

B. Chromatography

C. Cyanide nitroprusside

D. Both A and B

Answer 1

Answer; B) Chromatography.

Reason ; In the given scenario, according to the child clinical manifestation, it been suspected to have Purple urine bag syndrome. In order to find these condition in more detail the physician may suggest the above mentioned test to find the exact molecules that are present in the urine. Ferric chloride testing can be required if the color of the urine looks green. therefore the above mentioned testing is appropriate one to diagnose these condition.