Patient: I have blood in my urine. nurse: Do you feel pain when you urinate? patient:...
Patient: I have blood in my urine. nurse: Do you feel pain when you urinate? patient: yes nurse: Does the urine has an extremely strong smell? Do you feel pain in your back, side, or groin? what is your temperature? Do you have a loss of appetite? Is your urine cloudy? Patient: I have pain in my back and down both legs. I couldn't tell if my urine was cloudy, I just saw blood and got upset. I'm not hungry. **You take her temperature and find it's 101.0** nurse: 1) Does it burn when you urinate? Any fever, nausea, vomiting? 2) How many sexual partners you currently have and possible pregnancy? 3) Any trauma to your back or history of kidney stones? Patient: Yes, it hurts a lot when I urinate. I'm nauseous. I'm not pregnant, and in a monogamous relationship. No back injuries and I've never had a kidney stone. Nurse: When do you see blood in your urine — when you start urinating, toward the end of your urine stream or the entire time you're urinating? Do you smoke? Are you exposed to chemicals on the job? What kinds? patient: The blood was in the toilet after urination. I do not smoke, and I work in an elementary school as an administrative assistant. nurse: I will need a sample of urine. Please culture the urine and run a urinalysis specifically looking for the presence of proteins, leukocytes, and nitrite. Lab: The urine shows bacteria, RBC, leukocytes, protein, and nitrite are all present. nurse: Do you have low urine output? Can you describe your pain in your back and the pain down your legs? Is the pain radiating down your legs? Do you have chills? patient: Yes, I'm not making much urine, but I have frequent needs. The pain is sharp and radiates from my back, down my legs. Nurse: Can I get Gram- stain, catalase, CT scan, MacConkey agar, and EMB agar test? Lab: Gram stain shows Gram-Negative bacilli in the urine, catalase-positive, red colonies on MacConkey and metallic green on EMB agar. CT scan shows a renal enlargement. nurse: What is the color of your urine? Patient: Brownish red (because of the blood) Based on this information we need to diagnosis the patient.
Homework Answers
Answer: The diagnosis for this patient based on the above information show that the patient is having urinary tract infections. The reason behind it as the symptoms of urinary tract infections includes:
- Dark coloured urine
- Burning sensation during urination
- Blood in urine
- Pain
- Frequent urination
- Less amount of output.
The test reveals that the patient is infected with the gram negative bacteria, due to improper filtration of urine, the kidney has been swelled up.
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