Full Of Air

Renal & Urinary System


Step 1: View Clinicals

{"ops":[{"insert":"A 64 year old lady presents with dysuria, suprapubic pain, and nausea and vomiting for 3 days. She also complains of right flank pain and fever since yesterday.\n\nShe has been on treatment for diabetes and hypertension for the last 8 years, with poor control, and is currently on insulin, losartan and amlodipine. She had temporarily stopped insulin for the last 3 days, given her reduced food intake.\n\nShe also underwent extracorporeal shock wave lithotripsy for recurrent renal calculi last year. A complete blood count is significant for a leukocyte count of 12,500\/mm3, while a random plasma glucose level is 917 mg\/dL.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-073_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. Metabolic Profile
2. Urinalysis + Urine & Blood Cultures

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