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Suggest Treatment For Severe Pain In The Abdominal Area
Question: 26 year female,pain in abdomen in flight and gross hematuris.came to emergency department-no past medical and surgical history.advsed CT scan-findings-small punctate non obstructing stone with cystitis.treated with leofloxicin.reqest you to kindly confirm the cause of Hematuria and what could be the duration of disease.(please refer attached Medical records)
Brief Answer:
Likely Urinary tract infection
Detailed Answer:
Hi XXXXXXX
Thank you for contacting healthcaremagic.
The findings are suggestive of urinary tract infection due to the presence of large amount of RBC, WBC and nitrites in urine.
The small stone in the kidney might have been the cause of the UTI compounded by dehydration due to air travel. However the stone is small as per the report and is unlikley to require treatment.
I would recommend continuing the levofloxacin until culture reports of urine are available(I presume urine has been sent for culture- if not send one before starting on antibiotics).
It is common to get bladder wall thickening due to acute cystitis but since the patient has had hematuria, I would recommend further evaluation with cystoscopy and please refer this patient to an urologist urgently to this effect.
There is also large amount of urobilinogen in urine and hence I would recommend getting her liver function test done.
I cannot comment on the duration of the disease untill i know the full history of the patient.
Hope that answers your query.
Likely Urinary tract infection
Detailed Answer:
Hi XXXXXXX
Thank you for contacting healthcaremagic.
The findings are suggestive of urinary tract infection due to the presence of large amount of RBC, WBC and nitrites in urine.
The small stone in the kidney might have been the cause of the UTI compounded by dehydration due to air travel. However the stone is small as per the report and is unlikley to require treatment.
I would recommend continuing the levofloxacin until culture reports of urine are available(I presume urine has been sent for culture- if not send one before starting on antibiotics).
It is common to get bladder wall thickening due to acute cystitis but since the patient has had hematuria, I would recommend further evaluation with cystoscopy and please refer this patient to an urologist urgently to this effect.
There is also large amount of urobilinogen in urine and hence I would recommend getting her liver function test done.
I cannot comment on the duration of the disease untill i know the full history of the patient.
Hope that answers your query.
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Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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