Causes of turbid white urine Chyluria ...*Filariasis ... Schistosomiasis ..*Postsurgery Malignancy Hyperuricosuria Phosphaturia*** Hyperoxaluria Proteinuria Pyuria** Lipiduria Caseous material from renal tuberculosis Congenital malformations of the lymphatic vessels .. Above are the posdible cayses of turbid white urine.
Chyluria, also called chylous urine, is a medical condition involving the presence of chyle in the urine stream, which results in urine appearing milky white. The condition is usually classified as being either parasitic or non parasitic.
Chyluria is often caused by filariasis due to the parasite Wuchereria bancrofti, a thready nematode which lodges the lymph channels.
Chyluria is common in filariasis
Chyluria,due to filariasis
UTIS bacterial infections
TB UT.IS bact.infection
?chyluria adv creat
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update after treatment for 4to5 days for pre renal failure interesting point to discuss his urine reports both times showing hematuria asymptomatic and no renal pathology as he is diabetic neither uti nor calculus nor h/o any ailment suggesting painless asymptomatic hematuria your esteemed opinionsDr. Shivraj Agarwal0 Like15 Answers
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65 yr old non diabetic lady with with h/o HTN on telmesartan can wid c/o breathlessness with slight oedema under eyelid Ind increased frequency on urination. o/e slight cough . BP -170/100 . HR -90/min ..P/A -soft .nontender. no pedal oedema following r reports. kindly suggestDr. Amit Bhatia Chaurasia4 Likes24 Answers
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*Pyuria* Pyuria is a condition that occurs when excess white blood cells, or pus, are present in the urine. Pyuria causes cloudy urine and frequently indicates the presence of a urinary tract infection (UTI). Pyuria can also indicate sepsis, a life-threatening bacterial infection, or pneumonia in older adults. Some people may experience sterile pyuria in which white blood cells are present in the urine, but there are no bacteria or microorganisms. Sterile pyuria is often caused by a sexually transmitted disease or medications. WBC in urine Epidemiology Pyuria due to a urinary tract infection is common in people of all ages but is more prevalent in females than males. The overall prevalence of asymptomatic infection is estimated to be 3.5%. Risk factors for this include diabetes, UTI history, and lower socioeconomic status. Pregnant women are also more likely to be affected, with 4-10% women found to have pyuria. Causes A UTI is the most common cause of pyuria, as bacteria in the urinary tract can lead to pus being excreted out in your urine. Other causes of pyuria include: STDs, such as chlamydia, gonorrhea, genital herpes, syphilis, and HIV Viral infections Interstitial cystitis Painful bladder syndrome Pelvic infections Intra-abdominal infections Pneumonia Sepsis Radiation cystitis Foreign bodies in the urinary tract Urinary fistulas Intrinsic renal diseases Renal transplant rejection Polycystic kidney disease Fungal infections Experiencing pus in your urine can also be the result of long-term use of the following medications. Antibiotics with penicillin Aspirin Diuretics Olsalazine Nitrofurantoin Non-steroidal noninflammatory drugs, such as ibuprofen (Advil, Motrin) Proton pump inhibitors Risk factors As mentioned previously, by far the most prevalent cause of pyuria is a bacterial infection of the urinary tract. However, there are several health conditions that may be responsible for causing pyuria. These may include: Infections Kidney disease Papillary necrosis Diabetes Tuberculosis Renal stones Kawasaki disease Prostate cancer Menopause is another factor that can increase the risk for pyuria in women because of the higher risk for UTIs in menopause. Symptoms Symptoms of a UTI may include: Frequent urination Blood in the urine Cloudy urine Burning sensations during urination Pyuria not caused by a UTI can share similar symptoms. You may notice: Bladder pain Nausea or vomiting, which may be a sign of kidney problems Cloudy urine Discharge Abdominal pain Fever and chills Complications Untreated infections can develop into blood poisoning and even organ failure. If a urinary tract infection is not treated with the appropriate medication, permanent kidney damage is a real possibility. In the bladder infection, possible complications are the progression of upper urinary tract infection of the ureter and kidney. In kidney infection, the generalized infection that is sepsis or kidney damage can occur as a result of the infection. Diagnosis and Test Urinalysis: initial test to identify likely infection but a urine sample needs to be sent to the laboratory. See the separate article on Urine Dipstick Analysis. Positive nitrite test +/- positive leukocyte esterase test. Haematuria and proteinuria occur in UTI but are also present in other conditions. Urine microscopy, culture, and sensitivities; ask the laboratory to culture under conditions allowing identification of fastidious or slow-growing organisms. Consider the possibility of sexually transmitted disease; take a sexual history and consider sending swabs for chlamydia and N. gonorrhea. Polymerase chain reaction (PCR) testing of sterile pyuria has been recommended for the detection of Chlamydia trachomatis, mycoplasma and ureaplasma infections. Always consider tuberculosis; culture for AFBs (three early morning urine samples). With urine obtained directly from the bladder, any organism grown is significant and should be treated with a prolonged course of appropriate antibiotics. Cystoscopy may be required to exclude non-infective causes. Other diagnostic tests may include MRI, CT scan, ultrasound, and intravenous pyelogram. Management of Pyuria The recommended treatment for pyuria is dependent on the underlying cause of the condition. If there is no associated infection and the patient is asymptomatic, there may not be a need for any treatment. Several antibiotic medications may be indicated to eradicate bacteria in the urinary tract. These may include: Levofloxacin Ciprofloxacin Minocycline Ampicillin Amoxicillin/Clavulanate Erythromycin Doxycycline Norfloxacin Home remedies Here are some quick and easy home remedies to get rid of pus in the urine. Cranberry juice Cranberry juice is acidic in nature. This makes it difficult for the bacteria to survive in the urinary tract. Also, it prevents bacteria from adhering to the walls of the track. Drink 400 ml unsweetened cranberry juice daily so that faster results are observed, as less sugar content makes it more acidic. Water The simplest way to fight this infection is to drink plenty of water throughout the day. More water will help wash out the bacteria from the track making it free from infection. Also, it will dilute the urine reducing the pain it produces during urinating. Uva ursi It is a popular antiseptic herb. Uva Ursi or Bearberry helps in getting rid of the infection, thereby reducing the pus in the urine. This herb can be consumed in tea or capsule form so as to treat UTIs. Goldenseal Known to treat Chlamydia, this herb is very useful in treating pus in urine if the reason for it is Chlamydia. It also stimulates the immune system and prevents the body from forming pus. This herb is available in the form of capsules. Consume 1-2 capsules daily to get rid of pus in the urine. No Douching If you have pus in urine due to any sexually transmitted disease, then remember not to dough your vagina. This will disturb the pH balance of the vagina and cause infections to grow. Garlic Garlic has antibiotic properties that make it useful in fighting against Chlamydia. It is one of the important anti-viral herbs to treat many ailments. You can add garlic to your daily food or also consume it in raw form. Cucumber juice It is useful for treating pus in the urine. It increases the amount of urine that is thrown out of the body and thus washes out the bacteria. Extract juice of cucumber and consume 25 ml of it thrice a day to get rid of such infections. Cinnamon If you have pus in urine, then surely you will experience pain while urinating. Cinnamon seeds help in reducing this pain. Mix 2 grams of cinnamon powder in a glass full of water and drink it. Coriander seeds Soak 10 grams of coriander seeds in water for a night. Next morning, grind these seeds along with water and drink it together with sugar candy. This will effectively reduce the infections. Prevention and cure Use of condoms during sex reduces the risk of getting affected by STDs, thereby reducing any further complications. Wash or shower before and after having a sexual intercourse. Plenty of water: Always keep yourself hydrated in order to produce the right amount of urine. If less urine is produced, it is highly concentrated, which increases the risk. Do not control the urge to urinate as it leads to a growth of harmful bacteria in the tract. If you have a doubt about developing an infection, it is very good to avoid coffee and spicy foods. For those who require the use of indwelling catheters, observe sterile technique while performing the procedure.Dr. Shailendra Kawtikwar10 Likes20 Answers
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V v v important DRUGS OF CHOICE ---------------------------------- 1. Paracetamol poisoning- :- - acetyl cysteine 2. acute bronchial- asthma :- salbutamol 3. acute gout :- NSAIDS 4. acute hyperkalemia:- calcium gluconate 5. severe DIGITALIS toxicity :- DIGIBIND 6. acute migraine :- sumatriptan 7. cheese reaction :- phentolamine 8. atropine poisoning :- physostigmine 9. cyanide poisoning :- amyl nitrite 10. benzodiazepine poisoning:- flumazenil 11. cholera :- tetracycline 12. KALA-AZAR :- lipozomal amphotericin- B 13. iron poisoning :- desferrioxamine 14. MRSA :- vancomycin 15. VRSA :- LINEZOLID 16. warfarin overdose :- vitamin-K (NIPER- 2009) 17. OCD :- fluoxetine 18. alcohol poisoning :- fomepizole 19.Epilepsy in pregnancy: carbamezepine safe among older epileptics & lamotrigine, levitracetam safe in newer AED! 20. anaphylactic shock :- Adrenaline 21. MRSA Infection-Vancomycin 22. Malaria in Pregnancy-Chloroquine 23. Whooping Cough or Perteusis- Erythromycin 24. Kawasaki disease-IV Ig 25. Warferin Overdose-Vit-K 26. Heparin Overdose-Protamine 27. Hairy Cell Leukemia-Cladirabine 28. Multiple Myeloma- Melphalan 29. CML-Imatinib 30. Wegner's granulomatosis-Cyclophosphamide 31. HOCM- Propranolol 32. Delirium Tremens-Diazepam 33. Drug Induced Parkinsonism-Benzhexol 34. Diacumarol Poisoning-Vit-K 35. Type-1 Lepra Reaction-Steroids 36. Type- 2 Lepra Reaction-Thalidomide 37. Allergic Contect Dermatitis-Steroids 38. PSVT- 1st-Adenosine, 2nd-Verapamil, 3rd-Digoxin 39. Z-E Syndrome- Proton Pump Inhibitor 40. Chancroid-Cotrimoxazole 41. Dermatitis Herpetiformis-Dapsone 42. Spastic Type of Cerebral Palsy-Diazepam 43. Herpis Simplex Keratitis-Trifluridine 44. Herpes Simplex Orolabialis-Pancyclovir 45. Neonatal Herpes Simplex-Acyclovir 46. Pneumocystis carinii Pneumonia-Cotrimoxazole For Nodulo 47. 47. Cystic Acne-Retinoic acid 48. Trigeminal Neuralgia-Carbamezapine 49. Actinomycosis-Penicillin 50. Plague- Streptomycin 51. Opioid Withdrawal- Methadone 2nd-Clonidine 52. Alcohol Withdrawal- Chlordiazepoxide 2nd-Diazepam 53. Post Herpetic Neuralgia- Fluphenazine 54. WEST Syndrome-ACTH 55. Diabetic Diarrhoea- Clonidine 56. Lithium Induced Neuropathy-AmilorideCommunicable Disease: 57. Tetanus: PEN G Na; TETRACYCLINE; (DIAZEPAM 58. Diphteria: PEN G K; ERYTHROMYCIN 59. Pertusis: ERYTHROMYCIN; AMPICILLIN 60. Meningitis: MANNITOL (osmotic diuretic);DEXAM ETHASONE (anti-inflammatory); DILANTIN/PHENYTOIN (anti-convulsive); PYRETINOL/ENCEPHABO L (CNS stimulant) 61. Cholera: TETRACYCLINE 62. Amoebic Dysentery: METRONIDAZOLE 63. Shigellosis: CO-TRIMOXAZOLE 64. Typhoid: CHORAMPHENICOL 65. Rabies: LYSSAVAC, VERORAB 66. Immunoglobulins: ERIG or HRIg 67. Malaria: CHLOROQUINE 68. Schistosomiasis: PRAZIQUANTEL 69. Felariasis: DIETHYLCARBAMAZINE CITRATE 70. Scabies: EURAX/ CROTAMITON 71. Chicken pox: ACYCLOVIR/ZOVIRAX 72. Leptospirosis: PENICILLIN; TETRACYCLINE;ER YTHROMYCIN 73. Leprosy: DAPSONE, RIFAMPICIN 74. Anthrax: PENICILLIN 75. Tuberculosis: R.I.P.E.S. 76. Pneumonia: COTRIMOXAZOLE; ProcainePenicillin 77. Helminths: MEBENDAZOLE; PYRANTELPAMOATE 78. Meningitis: MANNITOL (dec. ICP) ;DEXAMETHASONE ( relieve cerebral edema) ;DIAZEPAM ( anticonvulsant); PENICILLIN 79. Syphilis: PENICILLIN 80. Gonorrhea: PENICILLIN...Dr. Rummana Ansari22 Likes12 Answers
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53/Female Presented with severe left Lumbar pain. History of Constipation, Dysuria. Known case of DM on Insulin but sugar not on Control CT abdomen done S/O: Hepatomegaly Bulky Cervix with Pelvic Lymph Nodes Enlarged Left Kindly with Fat Strandings S/O: Pyelonephritis Few retrperitoneal amd Inguinal Lymphnodes (+) Attached the Report and Film Kindly Guide Management and Further TreatmentDr. Delvin Blesso0 Like8 Answers