0
Special Feature |

Picture of the Month FREE

Mara Nitu, MD; Keith Ancona, MD; Cathy Coleman, MD; Walter W. Tunnessen Jr, MD
[+] Author Affiliations

Section Editor: Walter W. Tunnessen, MD


Arch Pediatr Adolesc Med. 2001;155(9):1063-1064. doi:10.1001/archpedi.155.9.1063.
Text Size: A A A
Published online

THE PARENTS of a 3-year-old boy sought consultation regarding a brownish discoloration of their son's clothing and bed sheets noted after episodes of enuresis. The parents report that the discoloration became more intense over time. Their son had been healthy and without other complaints. There was no history of illness or trauma. There were no urinary tract symptoms. The medical history was unremarkable as was the family history.

There were no abnormal findings noted on the physical examination. Urine was obtained for examination. The urine was clear and yellow in color with a specific gravity of 1.010, pH of 6.5, and without evidence of hemoglobin, myoglobin, red or white blood cells, or protein. A sample of the urine was observed at room temperature for 48 hours with the color changes shown in Figure 1.

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics