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usually Upper UTI or Lower UTI
- method of spread, ascending infectious spread, or hematogenous from GFR at the kidney?

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Cloudy - infection, immune cell(WBC) present.
pH - find normal range
Proteinuria -
Glucose exclude DM, Exclude keto acidosis, exclude liver disease.

Pus cell - Indicate infection, does this can indicate either upper or lower UT

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WBC
- Predominantly, most wbc Neutrophil 70%, immediate response to bacteria acute infection

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Hb- nm
WBC - Leukocytosis
Platelet - nm

Renaf Ft - All serum level nm.
Na - nm
k - nm
cl slightly low - what cause this happen
ca nm
po nm
urea nm
creatinine nm

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Blood and urine were sent for culture and sensitivity which detected growth of E. coli (colony count 105 /ml) from the urine sample. She was diagnosed to have urinary tract infection and was treated with antibiotic

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due to kidney stones

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Pathophysio of incomplete bladder emptying (PBL 31)

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Pathophysio of incomplete bladder emptying (PBL 31)

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a maneuver in which the kidney is moved by pressure from behind, allowing it to be palpated between the hands so that its size, shape, and mobility may be determined.

kidneys can occur in polycystic kidney disease or amyloidosis. A unilaterally enlarged, ballotable kidney can be caused by a renal tumour.

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Character of the tenderness feeling.

- Bladder, sg colon, s.i, Reproductive organ,
- G.U relation, Ureter, Bladder, Urethra

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High grad fever (39 deg celc) -  serious, maybe infection,
what infection can lead to this?
- Incr body temp, Incr BP 140/80 mmHg. 1st time patient came, no hypertension indication from b4.

Pain micrutirition- character of pain
feeling incomplete passing out - bladder muscle wall thicken, n gice sensation of urinary bladder fullness
incr freq micturition - neurogenic? , kidney stone?

Abdomen was soft with mild tenderness at suprapubic region

ddx
- UTI, female risk factor, urethra shorter.
- Kidney stone
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Pregnancy age
Menstrual cycle
Student or in career

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Pt id - Female, Middle age,
CComplain - High g fever 3 days., Pain urination,
39 degree cec

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Fatimah a 27-year-old woman, presented with history of high grade fever for 3 days prior to admission. She also complained of pain during micturition, feeling of incomplete passing out urine and increased frequency of micturition. On examination, temperature was 39C, pulse rate was 100 bpm and blood pressure were 140/80 mmHg. The abdomen was soft with mild tenderness at suprapubic region. Kidneys were not ballotable. Examination of other systems was normal.