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History:
BT is a 36 year old female experiencing pain during urination over the course of two days and is urinating more frequently. She does not have a fever or any other symptoms. She states she has not been drinking as much water as usual.
Physical: abdomen is soft, with no signs of tenderness or masses
Labs: a urinalysis with a "dipstick" is performed and reveals leukocytes and nitrites which suggest infection. A surprising finding is that she also has ketones in her urine (ketonuria).
Assessment: Urinary tract infection and ketonuria
When the body produces excess ketones, they are eliminated by the lungs and kidney.
Further history will be needed to determine why she is producing excessive ketones!
Please provide sources. Thank you
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