To determine if a patient has a urinary disease, the physician may: a. Check for costovertebral tenderness b. Determine BUN and creatinine levels c. Perform a PET scan d. Both A and B e. All of the above
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Step 1: Costovertebral tenderness is a sign of kidney infection or inflammation. Show more…
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Diagnosis of UTI is based on symptoms and examination of the urine for the presence of microbes. Match the UTI type to each specific sign and/or symptom. Options are: A. Cystitis B. Pyelonephritis C. Urethritis A. Flank pain, marked costovertebral angle tenderness upon palpation B. Dysuria C. Discomfort or pressure in the pelvis and lower abdomen with foul-smelling urine; patient afebrile D. Abrupt onset of moderate-to-high fever with shaking chills, tachycardia, diaphoresis, nausea, or vomiting E. Penile discharge in males
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A 32-year-old female is seen in the urologist's office because of a fever, chills, and generalized fatigue. She also reported urgency, frequency, dysuria, and hematuria. In addition, she noticed that her urine was cloudy with a fishy odor. The physician ordered the following tests: a clean catch specimen for a U/A, a urine C&S, and a KUB. The U/A revealed pyuria, bacteria, and a slightly acidic pH. Escherichia coli was grown in the culture. X-rays revealed acute pyelonephritis resulting from cystitis which has spread up to the kidney from the bladder. The patient was placed on an antibiotic and encouraged to "push fluids" by drinking 2L of water a day. This patient has two urinary system infections in different locations; name them. Which one caused the other and how? Look these conditions up in a reference source and include a short description of each. List and define each of the patient's presenting symptoms in your own words. What diagnostic tests did the urologist order? Describe them in your own words. Explain the results of each diagnostic test in your own words.
10. For each of the four diseases listed below, you are given a choice of two diagnostic methods. State which of the two methods you would use and why: cystitis: retrograde pyelography or urine specific gravity? pyelonephritis: urine culture or renal clearance test? diabetes mellitus: chemical urinalysis or renal biopsy? nephrotic syndrome: urine culture or chemical urinalysis?
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