CASE 3: A 60-year-old man consulted a physician with complaints of intermittent, severe pain that radiates from his right side to his abdomen and groin area. He experiences frequent urination with little or no output. He is also complaining of a "cold" and he has been taking over-the counter medication and vitamin supplements for more than a week. Provided below are his urinalysis results: PHYSICAL EXAMINATION Color: Red Clarity: Hazy CHEMICAL EXAMINATION pH: 7.0 Specific gravity: 1.030 Glucose: Negative Protein: Negative Ketones: Negative Bilirubin: Negative Blood: Negative Nitrite: Negative Leukocyte esterase: Negative Urobilinogen: 0.2 mg/dl MICROSCOPIC EXAMINATION RBC/hpf: more than 100 WBC/hpf: 0-1 Epithelial cells: NONE Bacteria/hpf: NONE Casts/lpf: NONE Crystals: NONE Mucus threads/lpf: NONE Question: what is the probable diagnosis of the patient?
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- CASE: URINARY TRACT INFECTION A 27-year-old woman comes in with a prescription for nitrofurantoin tablets 50 mg q.d.s. for three days and requests to speak with the pharmacist. She explains that her doctor tested her urine with a "colored strip" and diagnosed her with a urinary tract infection (UTI). She is experiencing significant discomfort when urinating due to a burning/stinging sensation, and her doctor has advised her to purchase Effercitrate over the counter. A friend suggested she also buy cranberry juice. 6. Aside from nitrofurantoin, list and describe other antibiotics used to treat urinary tract infections. 7. What lifestyle advice can be offered to patients with cystitis? 8. The following are some UTI myths; discuss whether they are true or not. a. UTIs are spread through sexual partners.b. A UTI can be avoided by drinking cranberry juice.c. UTIs can be avoided by wiping from front to back, avoiding tight clothing, and urinating after intercourse.d. A high salt diet…Patient C: An 18 y/o healthy female presents for a routine physical examination. Patient has great difficulty producing a very small volume of urine despite not having urinated since early morning. During discussion with physician it is revealed that she has had only 2 cups of coffee and a donut to eat all day 1) What are the abnormal findings? 2) What is your diagnosis? 3)What suggestions might you have for this patient? 4) Why does the body form concentrated urine? and where in the kidney does urine concentration occur? 5) Why is an extended water fast a bad idea?The nurse is caring for an older adult who is receiv- ing oxybutynin (Ditropan) to reduce the occurrence of bladder spasms related to a UTI. For which side effect should the nurse assess the patient? 1. Diaphoresis 2. Palpitations 3. Gastric irritation 4. Orange-colored urine
- A. Terminology Write the term defined below in the answer column. 1. Inflammation of the kidney (general). 2. Albumin in the urine. 3. A measure of the concentration of solutes in urine. 4. Erythrocytes in the urine. 5. Inflammation of the urinary bladder. 6. Most abundant inorganic compound in urine. 7. Leukocytes or pus components in the urine. 8. pH range of normal urine. 9. Hemoglobin in the urine. 10. More than a trace of glucose in the urine. 11. Ketones in the urine. 12. Inflammation of the kidney involving glomeruli. 13. Accumulations of materials hardened in tubules. 14. Most abundant nitrogenous waste. 15. Excessive urine production. 16. Bile pigment in the urine. 17. Inflammation of the urethra. 18. Kidney stones. 19. Little or no urine production. 20. Most abundant inorganic solute in urine. B. Clinical Significance Select the name of the possible clinical condition from the list below that is indicated by the urinalysis results. Write your answer in the answer column.…A male patient calls the office complaining of bloody urine accompanied by edema, headache, and flank or pelvic pain. Additionally, he relates that he is experiencing lumbar pain, abdominal pain, and tenderness. 1. How would you handle this call? 2. Recognizing the symptoms as possible a urinary tract condition, what diagnostic procedures would you anticipate being performed? 3. If the anticipated diagnostic procedures are performed, what results would you anticipate?A 36-year-old nulliparous female presented to the Emergency Department with a history of severe lower abdominal pain and an inability to pass urine for the last 8 hours. Abdominal examination revealed a tender palpable bladder midway between the pubic symphysis and umbilicus. The rest of the clinical assessment including medication history, gynecological examination, and neurological assessment was unremarkable. Serum electrolytes, urea, creatinine, and calcium were all within normal limits. A large distended bladder, as well as a pelvic mass, was visualized on point-of-care ultrasonography. An abdominal CT scan that was requested after insertion of a size 14 French urinary catheter reported the presence of a large posterior uterine wall mass (10,5 cm x 10,6 cm), anterior displacement of the urinary bladder, and mild (grade I) bilateral hydronephrosis/hydroureter. After being transferred to the gynecology ward, she later underwent a total abdominal hysterectomy where she was discharged…
- 32-Six hours after removing a postoperative client's indwelling urinary catheter, the client has not voided. What action should the practical nurse take? A- Ask the client if they are uncomfortable. B- Reinsert the indwelling urinary catheter. C- Obtain order to increase intravenous infusion rate. D- Complete a bladder scan. asap pleaseMs. Jackson is a single, 56-year-old woman with a 20-year history of type 1 diabetes, hypertension, hyperlipidemia, chronic anemia, and a total knee replacement. She has been diagnosed with CKD. She was admitted to a medical unit for treatment of shortness of breath and CKD. Treatment will include hemodialysis. She has had increasing shortness of breath, has pitting edema, urine output of about 375 mL/day, and is having premature ventricular contractions (PVCs) as seen on the cardiac monitor. Her admitting laboratory values are Na 131, K 6, Cl 97, Ca 10, iron (Fe) 64, WBC 4000, RBC 3.12, Hgb 10.1, Hct 32, creatinine 7, BUN 30. Her blood glucose levels yesterday were as follows: 07:00, 154 mg/dL; noon, 122 mg/dL; 17:00, 188 mg/dL. She has sliding-scale insulin ordered. She is having an echocardiogram and chest x-ray done. She is having a two-tailed subclavian catheter placed for blood access. She is withdrawn and quiet. Ms. Jackson is a single, 56-year-old woman with a 20-year history…Martha is a 56 year old female admitted for a care following a valve replacement surgery (7days) and acute renal dysfunction requiring hemodialysis postoperative . PMH:CHF and Afib
- After reading the following article, answer the questions mentioned below. https://todaysveterinarypractice.com/urology-renal-medicine/managing-feline-urethral-obstruction/ 1. What diagnostic tests should be performed on a patient with suspected urethral obstruction and why? 2. Explain the priorities when stabilizing a patient with urethral obstruction. 3. Explain the supportive care that should be implemented for a patient with urethral obstruction.J.D. is a 64-year-old man who presents to the family practice complaining of increased urination at night. The patient has a past medical history of hypertension, hyperlipidemia, and coronary artery disease (CAD). Vital signs are T 97.5, P 85, R 16, and BP 120/60. What subjective information should the nurse obtain? The nurse is performing the physical examination of the patient’s genitals. What are the major structures of the male genitalia? The nurse needs to assess the patient for a hernia. What is the proper procedure for this assessment?UTI Case scenario J.D, a 26 year old female, presents to the urology clinic for the first time. She was referred bythe primary health care provider for recurrent urinary tract infection with gross haematuria.Her presenting complaint includes a four week (4/52) history of urinary frequency andurgency, lower abdominal pain, intense vaginal pain (worse during intercourse). She reportsthat she has a history of inflammatory bowel disease, seasonal allergies and is on anxiolyticsdue to her stressful personal life. She reports occasional lightheadedness and fatiguability.Her diet consists of very little vegetables, a lot of spicy, fried foods and has coffee five timesdaily. She has three sexual partners. J.D brought a letter from her referring doctor stating that her urinalysis with MCS(microscopy, culture and sensitivity) have always been negative; she has been treated withfluconazole 150mg po (OD) STAT and a 14 day course of fluconazole, without resolution ofsymptoms. A KUB ultrasound and…