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Urinary System Infection Case Study

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, bacteria, and a slightly acidic pH. Escherichia coli 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 2L of water a day

•Explain the results of each diagnostic test in your own words.
•Where is E. coli normally found in the body?
•Describe the normal appearance of urine.

User Rozlyn
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1 Answer

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Final answer:

The diagnostic tests in the case study provided valuable information about the urinary system infection. The results revealed the presence of bacteria and a kidney infection caused by Escherichia coli. Normal urine appearance can vary, but cloudy urine with a fishy odor can be a sign of infection.

Step-by-step explanation:

The results of the diagnostic tests in this case study provide valuable information about the patient's urinary system infection. The clean catch urine specimen analysis (U/A) revealed the presence of pyuria (white blood cells), bacteria, and slightly acidic pH. This indicates an active infection in the urinary tract. The urine culture and sensitivity (C&S) test confirmed the presence of Escherichia coli, a common bacterium that causes most bladder infections. The KUB (Kidney, Ureter, and Bladder) X-ray showed evidence of acute pyelonephritis, a kidney infection that resulted from the spread of the infection from the bladder to the kidney.

E. coli is normally found in the digestive tract and can enter the urinary tract through the urethra, causing an infection. Good hygiene practices can reduce the risk of urinary tract infections caused by E. coli.

The normal appearance of urine can vary depending on an individual's hydration status, diet, and overall health. Normally, urine is clear to pale yellow in color, with a mild odor. Cloudy urine with a fishy odor, as described in the case study, can be a sign of infection or other underlying conditions.

User Kiran Ryali
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