Solution Acute Pyelonephritis: A 32-year-old female is seen in the urologist’s office because of a fever, chills, and generalized fatigue.

Case Study Scenario

A 32-year-old female is seen in the urologist’s office because of a fever, chills, and generalized fatigue. She also reported urgency, frequency, dysuria, and hematuria. In addition, she noticed that her urine was cloudy with a fishy odor. The physician ordered the following tests: a clean catch specimen for a U/A, a urine C&S, and a KUB. The U/A revealed pyuria, bacteriuria, and a slightly acidic pH. A common type of bacteria was grown in the culture. X-rays revealed acute pyelonephritis resulting from cystitis, which has spread up to the kidney from the bladder. The patient was placed on an antibiotic and encouraged to “push fluids” by drinking two liters of water a day.

Acute Pyelonephritis Case Study Questions

This patient has two urinary system infections in different locations; name them. Which one caused the other and how? (3 points)

List and define each of the patient’s presenting symptoms (in bold) in your own words. (4 points)

What diagnostic tests did the urologist order? Describe them in your own words. (3 points)

1. Explain the results of each diagnostic test in your own words. (3 points)
2. What were the physician’s treatment instructions for this patient? Explain the purpose of each treatment. (3 points)
3. Describe the normal appearance of urine.
4. Textbook: Medical Terminology: A Living Language, 7e
5. by Bonnie Fremgen and Suzanne Frucht

References

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