question archive Clinical History Sarah, a 27-year-old female, has presented to the Accident & Emergency department at her local hospital complaining of right loin pain, pain across her back, frequency, and dysuria
Clinical History Sarah, a 27-year-old female, has presented to the Accident & Emergency department at her local hospital complaining of right loin pain, pain across her back, frequency, and dysuria
Subject:BiologyPrice: Bought3
Clinical History
Sarah, a 27-year-old female, has presented to the Accident & Emergency department at her local hospital complaining of right loin pain, pain across her back, frequency, and dysuria. She also described fevers with rigors and nausea. She stated that she began to feel unwell two days previous, initially developing mild fever and dull back ache. The back pain has become progressively more intense. She states that she has vomited twice in the previous 6-8 hours. The patient states that she regularly experienced urinary tract infections, but the last episode was over five months previous. When asked how she has been feeling in general lately, she states that she has been excessively tired and had experienced regular headaches.
Lifestyle Factors
Upon questioning, the patient stated that she did not smoke and drank 5-10 units of alcohol a week. She denied any recreational drug use. She was not on any medication, however had been prescribed an antibiotic for three days after the last episode of UTI. For the last 3-4 months she has been following a vegetarian diet. She had lost some weight recently, putting it down to her new diet, but had also lost her appetite. She is engaged and here and her partner are trying to conceive.
Physical Examination
Upon physical examination, the patient looked generally unwell and is flushed. A temperature of 38.6°C, pulse rate of 120 bpm and blood pressure 105/70 mmHg were recorded. Breathing rate was normal but somewhat laboured. The patient's abdomen was tender, but most markedly in both loins.
Tests Requested
The clinician has ordered the following laboratory tests for investigation;
• Full blood count (FBC)
• Erythrocyte sedimentation rate (ESR)
• Urea & electrolytes (U&E)
• C-reactive protein (CRP)
• Urinalysis (Urine M/C/S)
Case Study
1. Discuss the patients symptoms, particularly frequency and dysuria.
2. Indicate and discuss risk factors of urinary tract infection and indicate those pertaining to the patient.
3. Discuss the findings of the patients physical examination.
4. Discuss the specimens required for each test.
