Differential Diagnosis of UTI Symptoms Essay

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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 o

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f urinatin; n histry f recurrent UTTs r kidney infectins

Mild dysuria; WBC 6-8 per high pwered field

Renal calculi

Diagnstic indicatins

Antibigram culture & sensitivity; UA; IVP

Therapeutic indicatins

Begin regimen f prbitic (Flrajens 3); Prescribe RX fr Septra DS ne p bid fr 10 days if UA indicates; infectin; Prescribe RX fr Pyridium 100-200 mg p tid X 2-3 days prn pain

Teaching & cunseling indicatins

Avid full bladder, cntinue high fluid intake, wiping frnt t back, duble vid, avid intercurse and tampn use until well

Differential Diagnsis

Psitive Data

Negative Data

Lwer back strain

Active hmemaker; active grandparent.....

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