1. BY: Julia Calhoun, Savana Canary, Emily Haimes, and Katarina Mayer

2. Patient History An 18-year-old male comes in for his annual physical. He is a cross country runner who is currently training to run a marathon. He feels healthy and energized and has no complaints about his health. In fact, he just finished a rather strenuous training session. Microscopic analysis of his urine does not reveal anything abnormal.

3. Given Data  There is no specific symptoms of a disease.  Overall, the patient is very healthy.

4. Urinalysis (Chemical Analysis)  Proteins are evident ○ 15 mg/dL

5. Data Presented  Healthy  Chemical analysis shows an abnormal amount of proteins in the urine  Microscopic analysis is normal  Macroscopic analysis is normal

6. Diagnosis  He is healthy, but he is pushing himself to his physical limits. ○ Shown by the proteins in the urine because of the order of what the body metabolizes (carbs, fats, proteins).

7. Plan  Due to our patient being healthy, there is not a certain medication that should be prescribed.  This individual should limit the excess amount of exercise or increase the amount of ingested carbs.  To assure that he is not working his body too hard, a follow up urinalysis should be performed.

8. Activity Questions  How did the urinalysis results lead you to your diagnosis? The protein levels in his urine showed to be slightly abnormal, therefore leading us to believe that he is working too hard. He is perfectly healthy.  What is the relationship between what you see in the urine and the disease or disorder? Our body metabolized proteins when we work extensively, therefore explaining the elevated protein levels in his urine.  What are the symptoms of the disease or disorder? There are no symptoms of this, other than the elevated protein levels. He is a normal healthy human.  How does this disorder relate directly or indirectly to other human body systems? Working too hard can affect the respiratory system, as well as the circulatory and muscular.  What further tests should be done to confirm your diagnosis? There isn’t any other test(s) to preform, but a follow-up urinalysis may be recommended to check the protein levels.  What are possible treatments for your patient? Working less and not as extensively will help lower protein levels in his urine.