Doctor insights on:
Dyspneu, dm history, uremia, creatininemia, proteinuria, glucosuria, hematuria, nitrite (-), leucocyte esterase (+), bacteria (+). Diagnosis?
Kidney nephritis- can high dose Valacyclovir/Valtrex (4g daily)cause it?
Negative ANA but mild kidney nephritis consistent with ckd.
5 yo girl, no history of UTI or kidney probs: in hosp for hi fever, dehydratn, urinalysis=+ for bact, urine culture=-! renal echo=dilated kidn. Opinions?
Consult a urologist: This child may have a number of problems, the most likely being vesicoureteral reflux or upj obstruction. She may need further studies, including a test called VCUG or a nuclear renal scan. If possible, consult with a pediatric urology subspecialist. She may need to be on antibiotics indefinitely until the problem can be diagnosed definitively. ...Read more
UTI symptoms, urine culture negative, Blood test: WBC 13.4, absolute neutrophils 9.8. UTI or something else?
GFR - 117.35, Albumin-4.6, leukocyte esterase-positive, urine WBC-25. Cud this indicate kidney disease? No symptoms of UTI. ANY suggestions?
Large exophytic R renal cyst 12.9x9.8x10.7 kidney 11.5 vert. Span. Note says mild fullness R renal pelvis, no true hydronephrosis? Meaning??
See below: Simple cysts are of no consequence unless there is pain involved. Your cyst is larger than usual, but if you do not have pain I would not worry. Mild fulness of R renal pelvis is just a radiographic finding, I would not worry as it has no real significance as long as there is no hydronephrosis. ...Read more
32 y/o female, symptoms of UTI including urgency, urethral discomfort, flank pain. Urine negative, no retention. Rx Bactrim (sulfamethoxazole and trimethoprim) DS. PMH pyelo x2. Ideas?
HC of pyelonephritis: When you are told that the urine test was - it just means it did not grow on the culture media that they chose to grow on. Try taking Ellura, a cranberry extract which prevents the bacteria from attaching to your bladder wall. It's not an antibiotic but it works quite well. ...Read more
With kid trachees, colonized with pseudo, esbl kleb oxytoca & staph, what inhaled abx could be used prophylaxi? (obv. Working with pulmo) tobi (tobramycin) allergy
Yes, but treatable.: Yes, it is a serious condition and evidence shows that it can be just as debilitating as bipolar i disorder. It is, however, treatable by a qualified psychiatrist. Patients can live productive happy lives with the correct course of treatment. ...Read moreSee 6 more doctor answers
67 years Male Parkinson Patients suffers from urine infection. Admitted at ICU. CRP186, WBC22000, Urea 116, Creatinine 3.5. Sugar Normal. Should he survive?
Pyelonephritis: Often with acute sepsis the creatinine is elevated because of diminished circulating blood volume due either to decreased intake or third-spacing of liquids. This should respond to antibiotics and supportive care with fluid replacement, assuming nothing else is going on. If the creatinine remains high very long he may be a candidate for end-stage renal failure care. Discuss with his doctors. ...Read moreSee 2 more doctor answers
Kidney pain, chills, fever. Had urine culture. Result: bacterial infection. But, where is infection? Bladder? Kidney? Bacterial UTI?
Y bipolar diagnosis change w ea doctor? NOS 2002. BP1 mixed w psychosis inpaitent06. Eval CYCLO 2010. BP2/RO bipolar1 mixed inpaitent2014. Which am I?
Bipolar Spectrum Dx: I can't tell you your accurate diagnosis. The diagnoses are all bipolar spectrum. Usually when there is this spread in diagnoses it can mean 1 of 2 things. 1. The more serious diagnoses become evident with subsequent visits due to ^ in symptoms or 2. The different providers are not conversing & the patient is a poor historian. Take care. ...Read more
Young adult woman with autism (oahu) diagnosed with MRSA with an abscess, second abscess 2 weeks later, 3days later upper resp infection--also mrsa?
Went 2 ER for severe flank pain & fever. High WBC &high neutrophils. U.S shows right pyelonephritis of upper pole but urine negative for bacteria, how?
Obstructed?: Obstruction of the upper part of the ureter or within the kidney could do this. e.g. from a kidney stone or papillary necrosis. That is, the infected area is not draining, and so no bacteria or white blood cells in the urine. If so, it's quite serious. Or maybe infection with a bacteria not detected on routine urine culture, but that's very rare. Keep working closely with your doctors. ...Read more
Kidney Infection: Pyelonephritis is iinfection in a kidney. It can be caused either by bacteria moving from the skin up the urinary tract and invading the kidney or by bacteria floating around in your blood until they take up residence in your kidney. Either has been given as an explanation for kidney infections and I have not seen anything to say one is more likely than the other. ...Read moreSee 1 more doctor answer