Introduction and Background
The patient is a 50 years old Caucasian female, heterosexual, married, and has one adult son. Her medical history includes mastopathy and uterine fibroids, which she claims to have had since she was around 30 years old, as well as chronic bronchitis. She has not traveled anywhere in the past 10 years, and she claims that she did not eat anything unusual in the last month besides her normal diet. She came into the hospital via ambulance an hour ago with the symptoms listed below.
Presentation of Findings
The patient presented with strong pain in the small back, irradiating below the belly button, as well claimed to have dysuria for the past three days. Her skin is pale and is covered with sweat, she has vomited twice in an hour and is feeling cold. Palpation causes severe pain and shows an enlarged left kidney, and percussion also provokes painful feelings in the patient’s left side. The ultrasound of the kidneys revealed an enlarged left kidney with pronounced compaction of the parenchyma.
Medical Tests That Helped Determine the Diagnosis
The first test that was conducted was the complete blood count (CBC). This test reflects the reaction of the organs of the hematopoietic system to the effects of all kinds of pathogenic factors. In the blood, neutrophilic leukocytosis with a shift to the left, a slight acceleration of ESR, and positive acute phase reactions in the biochemical study were detected. This points to the presence of infection in the patient’s body.
The second test that helped determine the patient’s diagnosis is the urinalysis. General urine analysis refers to routine laboratory tests aimed primarily at screening diseases of the urinary system since pathological processes in the kidneys and urinary tract affect the properties of urine. Urinalysis showed a decrease in urine density, as well as the presence of large amounts of leucocytes and erythrocytes – another sign of a severe inflammatory process in the urinary system.
The choice of antimicrobial drug depends on the type of pathogen and its sensitivity to antibiotics and the nephrotoxicity of the drugs. Ampicillin was used as the first choice of antibiotics, and it has shown good results. Additional, non-antibiotic treatments such as painkillers, probiotics, estrogens, and immunostimulants have also been prescribed to relieve patients’ distress. The patient was advised to adhere to a diet with no spicy, fried, and salty products, as well as reduce the consumption of caffeine.