Going Up

Renal & Urinary System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This patient has lower urinary tract symptoms in a background of diabetes; this presentation is typical of a urinary tract infection (UTI), with the suprapubic tenderness favoring acute cystitis.\n\nEssential first-line investigations include a urinalysis and dipstick test; the former reveals a full field of pus cells with occasional erythrocytes, leukocyte casts and bacteria, while the latter is positive for both nitrites and leukocyte esterase, confirming the suspicion of an active infection.\n\nNote also that this could be considered a case of uncomplicated cystitis; the presence of diabetes as a comorbidity does not necessarily imply a complicated UTI, assuming that the patient\u0027s glycemic metabolism is stable, and they are otherwise health"}]}

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