Urinary Tract Infection

14/03/2020 A 40 year old female presented on 14 March with - Increased frequency of urination 12 to 13 times, even more per day from last 8 days without any hematuria episode or any dysuria - She had history of left side nephrolithiasis 3 to 4 years back I had put her on cephalexin, alkasol 19/03/2020 As of today she still complains of increased frequency, and no relief with Cephalexin or Alkasol Her reports are out - USG KUB - Left Renal Calculus of 6.6mm KFT - WNL TLC - 10950 (upper limit of range is 10000) Her RBS is below 140 even today and even on 14/03/2020 RBC in Urine RM - 3-4/HPF How to proceed with this case? Can we label it as a case of complicated UTI?

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IT'S A..CASE OF.. RENAL CALCULUS..LT.. &.. POLYURIA.. ? UTI..CYSTITIS.. ? STRESS INCONTINENCE.. ? OVERACTIVE BLADDER.. NEED'S.. URINE C AND S EXAMINATION.. UROLOGISTS OPINION..
Increased frequency of micturition with urine R/E 3- 4 / HPF with no dysuria and fever cannot be labeled as UTI . Possible causes of increased frequency of micturition in this case could be 1.Anxiery disorder 2.Overactive bladder 3 Compulsive Polydypsia 4.Excessive coffee or tea intake 5 Stress incontinence 6 Diabetes mellitus 7 Nephrogenic diabetes inspidus . Investigations and detailed history is needed to find out the cause . Although tuberculosis cystis can present with similar picture . To rule out UTI - get a urine for culture and sensitivity done
Renal calculus with complicated UTI Adv: urineC/s Mean while give Tab uritop 100 bd Syrup citralka bd Tab normaxin bd Rull out stress incontinence, DI and DM
It may be cystitis Do urine routine micro culture sensitivity Tab. Sultamicilin 375 bd for 5 days Tab. Flavoxate bd 5 days Liq. Cranberry extract+....
The polyuria is secundary because she has obstructive urophathy and develop nephrogenic diabetes insipidus, she need an urolologist. There isn't UTI.

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