A 56-year-old man presented to surgery with new-onset urinary tract symptoms over the preceding week. These consisted of urgency and frequency associated with suprapubic pain. There was no frank hematuria. He had no significant past medical history and no history of STIs.Clinically he was afebrile and his abdomen was soft with no palpable bladder. There were no testicular abnormalities. A provisional diagnosis of UTI was made and the patient was prescribed a seven-day course of ciprofloxacin 500mg daily. His symptoms improved over the week and the urine microscopy report revealed no growth but large quantities of white and red blood cells.ReviewThe patient was reviewed at 10 days and was asymptomatic. A repeat urine microscopy was normal. At the review appointment, digital rectal examination revealed a non-tender benign prostatic enlargement. Biochemical tests including a PSA, glomerular filtration rate and U+Es were normal. Three weeks later he presented with frank hematuria and incontinence with lower abdominal and left-sided loin pain. He had a palpable bladder and a large stone trapped at the urethral entrance. He was admitted as a surgical emergency and underwent a meatotomy and stone removal under anesthesia. A cystoscopy was normal and there was no evidence of further calculi in the renal tract. The stone was calcium oxalate and thought to have originated from the ureter. A coexistent UTI had caused urethral impaction secondary to epithelial slough and an element of BPH. He has been well since.
Please provide a rationale with the answer.
Explain the signs and symptoms of renal stones?
Signs and symptoms of renal stones are as follows:-
These symptoms happen because of shared nerve connections between the kidneys and GI tract.
Stones in the kidneys can trigger nerves in the GI tract, setting off an upset stomach.
A 56-year-old man presented to surgery with new-onset urinary tract symptoms over the preceding week. These...
A 56-year-old man presented to surgery with new-onset urinary tract symptoms over the preceding week. These consisted of urgency and frequency associated with suprapubic pain. There was no frank hematuria. He had no significant past medical history and no history of STIs.Clinically he was afebrile and his abdomen was soft with no palpable bladder. There were no testicular abnormalities. A provisional diagnosis of UTI was made and the patient was prescribed a seven-day course of ciprofloxacin 500mg daily. His symptoms...
A 56-year-old man presented to surgery with new-onset urinary tract symptoms over the preceding week. These consisted of urgency and frequency associated with suprapubic pain. There was no frank hematuria. He had no significant past medical history and no history of STIs.Clinically he was afebrile and his abdomen was soft with no palpable bladder. There were no testicular abnormalities. A provisional diagnosis of UTI was made and the patient was prescribed a seven-day course of ciprofloxacin 500mg daily. His symptoms...
A 56-year-old man presented to surgery with new-onset urinary tract symptoms over the preceding week. These consisted of urgency and frequency associated with suprapubic pain. There was no frank hematuria. He had no significant past medical history and no history of STIs.Clinically he was afebrile and his abdomen was soft with no palpable bladder. There were no testicular abnormalities. A provisional diagnosis of UTI was made and the patient was prescribed a seven-day course of ciprofloxacin 500mg daily. His symptoms...
A 56-year-old man presented to surgery with new-onset urinary tract symptoms over the preceding week. These consisted of urgency and frequency associated with suprapubic pain. There was no frank hematuria. He had no significant past medical history and no history of STIs.Clinically he was afebrile and his abdomen was soft with no palpable bladder. There were no testicular abnormalities. A provisional diagnosis of UTI was made and the patient was prescribed a seven-day course of ciprofloxacin 500mg daily. His symptoms...
A 56-year-old man presented to surgery with new-onset urinary tract symptoms over the preceding week. These consisted of urgency and frequency associated with suprapubic pain. There was no frank hematuria. He had no significant past medical history and no history of STIs.Clinically he was afebrile and his abdomen was soft with no palpable bladder. There were no testicular abnormalities. A provisional diagnosis of UTI was made and the patient was prescribed a seven-day course of ciprofloxacin 500mg daily. His symptoms...
A 56-year-old man presented to surgery with new-onset urinary tract symptoms over the preceding week. These consisted of urgency and frequency associated with suprapubic pain. There was no frank hematuria. He had no significant past medical history and no history of STIs.Clinically he was afebrile and his abdomen was soft with no palpable bladder. There were no testicular abnormalities. A provisional diagnosis of UTI was made and the patient was prescribed a seven-day course of ciprofloxacin 500mg daily. His symptoms...
A 56-year-old man presented to surgery with new-onset urinary tract symptoms over the preceding week. These consisted of urgency and frequency associated with suprapubic pain. There was no frank hematuria. He had no significant past medical history and no history of STIs.Clinically he was afebrile and his abdomen was soft with no palpable bladder. There were no testicular abnormalities. A provisional diagnosis of UTI was made and the patient was prescribed a seven-day course of ciprofloxacin 500mg daily. His symptoms...
A 56-year-old man presented to surgery with new-onset urinary tract symptoms over the preceding week. These consisted of urgency and frequency associated with suprapubic pain. There was no frank hematuria. He had no significant past medical history and no history of STIs.Clinically he was afebrile and his abdomen was soft with no palpable bladder. There were no testicular abnormalities. A provisional diagnosis of UTI was made and the patient was prescribed a seven-day course of ciprofloxacin 500mg daily. His symptoms...
A 49-year-old male patient was admitted to the ER with moderate lower abdominal pain, mild-to-moderate dysuria, pollakiuria and nocturia (at least 5 – 8 times) in addition to hematuria. When taking his history, the patient tells the ER physician that this has gone on for approximately six months. Although the condition has not worsened over that time, it has not gotten better either. The patient also notes that he had been treated for urinary tract infections a total of three times over...
A 10 year old, 75 lb male is presented at the ER due funny colored urine and general achiness. During the history, he said the urine had been cloudy and he rarely has an urge to mitriculate. He had a sore throat about 2 weeks ago, but recovered normally. He has periorbital edema and pitting edema of the ankles. Evaluate the following by using arrows to indicate any values that are abnormal. ie. High Low or N (See the appendix...