Table 1.
Hyperthyroidism | Diabetes mellitus | Chronic kidney disease | ||||
---|---|---|---|---|---|---|
All | With UTI | All | With UTI | All | With UTI | |
Total number | 90 | 11 | 57 | 7 | 77 | 17 |
Female | 52 | 10 | 21 | 3 | 39 | 14 |
Male | 38 | 1 | 36 | 4 | 38 | 3 |
Age range (in years) | 4–18 | 9–18 | 1–18 | 9–18 | 2–19 | 2–18 |
Age median (in years) | 13.0 | 14.0 | 12.0 | 12.5 | 13.0 | 13.5 |
History | ||||||
Polyuria/polydipsia | 11 | 2 | 30 | 1 | 29 | 5 |
Signs of LUTD | 2 | 0 | 3 | 2 | 6 | 4 |
Other health problems | 0 | 0 | 23 | 0 | 11 | 4 |
Treated with methimazole | 42 | 6 | 0 | 0 | 0 | 0 |
Treatment with steroids | 0 | 0 | 6 | 0 | 0 | 0 |
Treatment with insulin | 0 | 0 | 34 | 5 | 0 | 0 |
Complete blood count | ||||||
Hematocrit decreased | 3 | 1 | 2 | 0 | 25 | 6 |
Hematocrit increased | 3 | 1 | 1 | 0 | 0 | 0 |
WBC increased | 10 | 2 | 29 | 1 | 19 | 4 |
Left shift | 1 | 0 | 14 | 3 | 10 | 2 |
Serum chemistry | ||||||
Glucose 1 >140 mg/dl (7.8 mmol/l) | 10 | 1 | 50 | 3 | 16 | 5 |
Glucose 1 >250 mg/dl (13.9 mmol/l) | 0 | 0 | 42 | 2 | 0 | 0 |
Urea nitrogen 2 increased | 6 | 0 | 15 | 4 | 77 | 16 |
Creatinine 3 increased | 0 | 0 | 2 | 1 | 77 | 17 |
tT4 * 4 measured | 83 | 9 | 31 | 2 | 31 | 6 |
tT4 * 4 increased | 78 | 9 | 0 | 0 | 0 | 0 |
tT4 * 4 decreased | 0 | 0 | 23 | 2 | 18 | 3 |
Mean tT4 * 4 in μg/dl (mmol/l) | 11.6 (150) | 13.4 (173) | 1.1 (14) | 0.6 (8) | 1.4 (18) | 1.4 (18) |
Urinalysis | ||||||
Gross appearance abnormal 5 | 27 | 5 | 7 | 1 | 3 | 1 |
Urine specific gravity >1.020 | 82 | 11 | 47 | 2 | 5 | 2 |
Urine specific gravity mean | 1.029 | 1.036 | 1.034 | 1.019 | 1.013 | 1.012 |
Urine dipstick | ||||||
Glucosuria | 6 (mild) | 1 | 52 | 3 | 4 (mild) | 2 |
Ketonuria | 3 (trace) | 1 | 10 | 1 | 0 | 1 |
Bilirubinuria | 0 | 0 | 5 | 1 | 0 | 0 |
pH ≥7.5 | 10 | 2 | 3 | 1 | 5 | 0 |
Proteinuria ≥1+ | 29 | 4 | 16 | 2 | 24 | 9 |
Urine sediment | ||||||
WBC >5/HPF | 4 | 2 | 4 | 2 | 13 | 11 |
Bacteria seen | 14 | 8 | 6 | 5 | 14 | 14 |
Casts seen | 6 | 0 | 5 | 2 | 6 | 1 |
Crystals seen | 15 | 0 | 10 | 2 | 7 | 2 |
Urine collection | ||||||
Cystocentesis | 90 | 11 | 54 | 5 | 77 | 17 |
Catheterization | 0 | 0 | 3 | 2 | 0 | 0 |
=Total T4, UTI=urinary tract infection, LUTD=lower urinary tract disease, WBC=white blood cell, HPF=high-power field. Reference ranges:
serum glucose 63–140 mg/dl (3.5–7.8 mmol/l);
serum urea nitrogen 17–35 mg/dl (6.1–12.5 mmol/l);
serum creatinine 0.7–2.1 mg/dl (62–186 μmol/l);
total T4 1.5–4.0 μg/dl (19.4–51.6 nmol/l);
abnormal urine color and turbidity: orange, brown or red and cloudy or opaque.