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What Does This Ultrasound For UTI Indicate?

Posted on Tue, 29 Apr 2014

Question: hello doc DO U SUSPECT THAT MY MOTHER HAS UTI INFECTION AFTER SEEING THIS TWO REPORTS.

Answered by Dr. Anshul Varshney (43 minutes later)

Brief Answer: I need details, reports are in conclusive Detailed Answer: Dear Friend. Hi , I am Dr Anshul Varshney , I have read your query in detail , I understand your concern. Her urine report is not at all suggestive of UTI. But her Ultrasound report shows cystitis that is supportive of UTI. Now here, what is required is clinical co relation. Also she is a diabetic so chances of UTI are more in them. So, tell me following: 1.What problems is she having and since when? 2. If fever is there then tell me since when ? Associated with chills and rigors? Any burning micturation? 3. Her blood sugar levels? 4. What treatment she is on? 5. What are her blood sugar levels? This is my personal opinion based on details available here. If you still have any query you may please ask me. Stay Healthy. Dr Anshul Varshney , MD

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Anshul Varshney (23 minutes later)

-thyroiditis has almost been confirmed after fnac and thyroid scan -fever with chills.fever comes at around 6:30 to 7:30 pm -last hba1c 25 febuary=6.2%, -today pp blood sugar=206 mg /dl -amaryl 1mg,volix m 0.3,matilda forte,shelcal m.

Answered by Dr. Anshul Varshney (7 minutes later)

Brief Answer: Detail Follows Detailed Answer: Dear Friend. In this case, i must say that fever can be due to Thyroiditis. In such situations i prefer doing the following: 1. Send Urine for Culture Sensitivity. 2. Start patient on oral antibiotic like Levofloxacin, Nitrofurantoin to cover urine infection part, after sending culture sample. Your report would be available in 48 hours, so if there is a growth in culture then antibiotics should be continued according to the sensitivity, else can be stopped. Get her a good treatment for thyroiditis and also she requires a better control of her diabetes. I hope my suggestions would help you. If you have any further query please ask me.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Anshul Varshney (9 minutes later)

-culture report is due on 19 apr. -does an enlarged liver suggests any negative thing because for past 2 years all ultrasound report has enlarged liver. -doc also told to get x ray pa view what does this has to do with the current medical medical problem.

Answered by Dr. Anshul Varshney (7 minutes later)

Brief Answer: Detail Follows Detailed Answer: Dear Friend. Enlarged liver warrants further investigations to see for Viral Hepatitis or Non Alcoholic Fatty Liver disease. You should simply get her following investigations: 1. HbsAg, Anti HCV Antibody 2. Liver Function Test. X-ray Chest he must have asked to rule out any evidence of Pneumonia that might be causing Fever, as in diabetics any infection can occur most common being UTI and Pneumonia. In fact simply, get her all routine tests once, so that if any problem is there that can be identified and treated. If you have any further query, please ask me, else close the discussion and rate it. Stay Healthy.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Anshul Varshney (45 hours later)

This is the culture report. so what do u make out after seeing all the three reports

Answered by Dr. Anshul Varshney (3 hours later)

Brief Answer: Unlikely to be a UTI. Detailed Answer: Dear Friend. Urine Culture Report is negative, means there is no growth. I don't feel that fever is because of UTI. Moreover, if it is, it must have responded to antibiotics. Urine culture can be negative even after UTI, if antibiotics have been started before giving the urine sample. I still feel that fever is because of thyroiditis. I would like to know: 1. Current status , including fever episodes, how high does the fever rise? 2. What treatment she is on? 3. Any other symptom then fever like cough, expectoration? 4. Also attach her thyroid profile and FNAC Report. Reply with these so that i can give you a better opinion. Stay Healthy.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Anshul Varshney (47 minutes later)

1. no fever as she takes dolo 650 mg tablet 3 times a day.the fever has now stopped coming but as far as the pattern is concerned it used to come between 6:30-7:30 pm on daily basis and then the fever goes of the next morning.fever was a bit on higher side. 2.Amaryl 1 mg,volix m,shelcal m,matilda forte,dolo 650 mg,ciplar 10mg, 3.no other symptom but yes she got fever with chills. 4.other.pdf file already attached.

Answered by Dr. Anshul Varshney (15 hours later)

Brief Answer: Detail Follows Detailed Answer: Dear Friend. If she still has fever, specially evening rise, get her Chest Xray and Sputum for AFB to rule out Pulmonary Tuberculosis. You have not mentioned if she has been given any antibiotics. Also, i feel that she has a fever of long duration now. So, get her investigated again and properly. Her blood sugars are not under control. Discuss with your doctor about adding Metformin to her treatment for a better control of blood sugars. Also get her thyroid profile again. If you have any further query, ask me, else please close the discussion and rate it

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar