Hematuria

Case Study #2 - Hematuria. 1. Why did this patient require a retrograde pyelography and an antegrade pyelography? Retrograde pyelography is an invasive inspection of the kidneys from a distal way through the ureters. It has been used as a primary method infrequently, but it has a few probable signals when it can be a secondary method. Retrograde pyelography is mostly used to examine lacerations of the ureter. It generally necessitates a universal painkilling, and may end in the introduction of germs. The test can help discover what is the basis of the patient’s urinary issue. It can recognize obstacles such as tumors or tapering in the kidneys. It is habitually done if other examinations have been unconvincing. The test should expectantly give…

malaise, tiredness, anorexia, and not feeling well. The dark urine or hematuria is the result of blood in the urine because the inflammation is allowing the seepage of red blood cells into the urine. The edema, or the hematuria is one the most clinical findings that caused patients and families to seek medical care. The cause of hypertension is most likely due to retention of sodium and water with resulting expansion of the extracellular space. The complications of high blood pressure include:…

35 year old male called P.D., who was brought to the emergency department complaining of a sore shoulder. He states that he forced off the road while riding his motorcycle, and he sideswiped a telephone pole. He did not lose consciousness. A urine specimen reveals gross hematuria. P.D. also states that a tape player in the right pocket of a leather jacket is shattered. Subjective Data- Patient states, “he has a sore shoulder”. Patient also states “ he was forced off his motorcycle and…

Patients with ADPKD may be at a higher risk of developing thoracic aortic aneurysms. Abdominal aortic aneurysms are not increased among these patients. Pain may also develop for reasons completely unrelated to the underlying disease; thus, abdominal pain in patients with ADPKD may be a diagnostic challenge. In addition to pain, other physical symptoms that patients with early-stage ADPKD may report include fatigue, breathlessness, weakness, and malaise.[24] Hematuria Hematuria frequently is the…

admissions, she remained positive for C diff and is currently on a vancomycin taper for treatment of recurrent C diff. Over the past several admissions, she was found to have bacteremia with organisms such as Saccharomyces cerevisiae, Eubacterium lentum, Enterococcus faecalis and Acinetobacter lwoffi. On examination, she had diffuse abdominal and renal angle tenderness. Renal function was normal, without evidence of microscopic or macroscopic hematuria. She was found to have an elevated ESR,…

Obtain a urinalysis on all patients to detect hematuria. When hematuria is present, obtain renal function tests. Although microscopic hematuria is relatively common in patients with HSP, proteinuria represents more extensive renal involvement and requires closer monitoring and outpatient follow-up. Finally, stool guaiac may be positive in up to 49% of cases of HSP, although, in the absence of symptoms suggestive of intussusception, does not require further evaluation. Radiographic imaging is not…

This particular patient was a 36 year old female who was diagnosed with loin pain hematuria syndrome. According to the patient her experience with this syndrome has been less than a positive one. With her condition she experiences episodes of crisis where her pain becomes unbearable, leading to a hospitalization. Her primary care provider has tried several different treatments to relieve her pain. Recently she had obtained a kidney auto transplantation, where the kidney is moved to the anterior…

Kidney stones develop when crystal precipitate from the urine and collected within the kidney papillae, ureter and renal pelvis. The most common kind of kidney stone contains calcium oxalate and calcium phosphate. Diagnosis is made based on clinical history, supported by investigations and diagnostic imaging. Signs and symptoms include, pain, mostly severe, renal angle tenderness, hematuria, or digestive symptoms such as nausea, vomiting, or diarrhea. The onset of pain is sudden and usually felt…

A 36-year-old female presents to the emergency department with fever and chills, which have been ongoing for the past two days. She describes paroxysms of shaking chills, which last about an hour then are followed by high-grade fevers. She also reports malaise, generalized body aches and joint pain. She notes that her urine in the morning seemed unnaturally dark. She just returned from a missionary trip in Cameroon (Central Africa) where she volunteered for two weeks as a teacher. She can’t…

All available documentation submitted for this claim has been reviewed from the perspective of Internal Medicine. The claimant is a female (DOB 08/20/1979) who works as a sales representative who is claiming disability from 04/03/17 through 04/16/17. The physical requirements of her job included carrying optical bags, standing, and walking. Based on the submitted documentation, the main medical issues, in this case, are acute cystitis with hematuria, left-hand numbness, left-sided neck…