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Differential Diagnosis of UTI Symptoms Essay

Pages:1 (412 words)

Subject:Mathematics

Topic:Calculus

Document Type:Essay

Document:#4202180


Differential Diagnosis

Positive Data

Negative Data

Recurrent kidney infection

Lower back pain, fever; pain localized to right lumbar and right CVA area; pain intensity 3-7 on Visual Analog Pain Scale (with 10 on VAS for natural childbirth)

No family history of renal disease; sister with history of kidney stones

day course of Cipro; symptoms returned in second week

Pain from back does not radiate to bladder or pubic area

Consuming cranberry juice and 4-6 glasses of water per day

Denies hematuria

Experiencing mild dysuria ("slightly stinging")

No edema; no lesions of genitalia

Drinking coffee, but not cola or tea

Denies frequency of urination; no history of recurrent UTTs or kidney infections

Mild dysuria; WBC 6-8 per high powered field

Renal calculi

Diagnostic indications

Antibiogram culture & sensitivity; UA; IVP

Therapeutic indications

Begin regimen of probiotic (Florajens 3); Prescribe RX for Septra DS one po bid for 10 days if UA indicates; infection; Prescribe RX for Pyridium 100-200 mg po tid X 2-3 days prn pain

Teaching & counseling indications

Avoid full bladder, continue high fluid intake, wiping front to back, double void, avoid intercourse and tampon use until well

Differential Diagnosis

Positive Data

Negative Data

Lower back strain

Active homemaker; active grandparent / child caregiver (regularly…


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