Select one a. Consider that the patient has a urinary tract infection, obtain a

Question

Select one a. Consider that the patient has a urinary tract infection, obtain a urine culture, and O b. Consider that he has a complicated urimary tract infection and reter him to a urologist O c. Perfom computed tomography of the abdomen and pelvis to evaluate for kidney or bladder stones o d No treatment is needed uine culture, and treat with antibiolics e. Obtain a serum creatinine level to evaluate for chronic kidney disease A 56 year oks woman presents to the emergency department with len sioed tlank pain radiating to kower abdomen along with Question 5 Not yet answered Chills, nausea and one episode of vomiting She also noted passing frequently to the toilet for urination. upon examination Marked out of 1.00 P Flag question patient is found to be febile and has left costovertebral tenderness. BP is 130182, HR 92/mn, RR 14mn Urinalysis shows pyuria and bacteriuria. Which of the following is the most likely pathogen? Select one a Pseudomonas species b Staphylococcus species C. Enterobacter species d Eschenchia co e Klebsiella species Finish anempt

Explanation / Answer

Ans.1) Escherichia coli ( E. Coli)

because most of the time urinary tract infection is caused by normal flora of the intestine i.e E.coli.

when e.coli it enters into the sterile spaces of urethra and bladder it causes urinary tract infection.

       2) Acute pyelonephritis

Because tenderness over costovertebral angle on palpation is a key findindg in the diagnosis of pyelonephritis.

       3) 10 day outpatient course of ciproflloxacin

as it is a first line drug in treating urinary tract infection.

       4) Acute cystitis

because allthese signs and symptoms corelates to cystis.

       5) perform computed tomography of the abdomen and pelvisto evaluate for kidney or bladder stone.

because patient has the the complaint of strong smelling.there is no sign of urinary tract infection seen.therefore renal and bladder stones condition may be associated with strong odor of urine.

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