Untreated cystitis can develop into which of these more serious infections? O appendicitis. O gastroenteritis. O pyelonephritis. O urethritis.
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The patient who complains of painful burning urination, increased urinary frequency, and fever most likely has: a) Renal stones b) cystitis c) cystitis and pyelonephritis d) pyelonephritis
Sri K.
Coming through the ER complaining of severe abdominal pain (acute abdomen), this 20-year-old woman was admitted to rule out appendicitis, pancreatitis, pyelonephritis, abdominal abscess, or ruptured viscus. Because she was 36 weeks' (estimate) IUP, a low C-section was performed and the child was delivered. Her appendix was found to be ruptured, and it was removed at the same time. Blood cultures were positive for E. coli, sensitive to Cefotan (cefotetan disodium) and to gentamicin, which she was given. The urinalysis, obtained two days post-surgery, was as follows: glucose negative, bilirubin small, ketones 40 mg/dL, specific gravity 1.025, blood negative, pH 6.5, protein 30 mg/dL, urobilinogen 1.0 EU/dL, nitrite negative, leukocyte esterase trace, color orange, WBCs 5-10/HPF, RBCs rare/HPF, epithelial cells 1+/HPF, bacteria 1+/HPF, casts 1-5 granular, Icotest negative. C&S was not requested on this urine. Case Question: What aspects of the urinalysis do you find significant? Explain. What would one expect to see in her urine microscopic exam?
A 76-year-old female has come to the office of the urologist. Her symptoms are dysuria, urgency and frequency of urination. She has also c/o nausea and vomiting over the last 24 hours, being unable to keep food down. Upon examination, she has an elevated temperature of 101.6 with the remainder of her vital signs within the normal ranges. She complains of mild right flank pain. The urinalysis was positive for leukocytes, many bacteria and trace hematuria. The physician has advised the patient she must be admitted to the hospital to receive intravenous antibiotic treatment. Answer the following questions: 1. Define all the terms typed in bold. Give meaning/explanation. 2. Explain what symptom indicates this is not just a urinary tract infection but instead pyelonephritis? 3. Why must this patient be hospitalized instead of being allowed to go home and take antibiotics orally?
Bryan V.
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