Pain in abdomen & fever

45/y/o female with gradually worsening, generalized abdominal pain and tactile fevers for the past 2 days. The pain started in the right lower quadrant but has spread throughout her entire lower abdomen. No h/o vomiting, diarrhea, dysuria, or abnormal vaginal discharge. H/O renal-lithiasis 2 years ago Vital signs are normal. Physical examination reveals bilateral mild lower abdominal tenderness that is slightly more severe on the right. No costovertebral angle tenderness is present. Complete blood cell count reveals a leukocyte count of 19,000/mL. Basic metabolic panel is normal except for a sodium level of 132 mEq/L. Urinalysis reveals a red blood cell count of 25 x 106/µL.

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? RENAL PATHOLOGY.. RENAL COLIC.. ? APPENDICITIS.. NEED'S.. USG..ABDOMEN.. SURGEONS OPINION.. MEANWHILE TREAT SYMPTOMATICALLY WITH.. INJECTION.. DYNAPAR..OR.. TRAMADOL..

USG to be done

cranberry juice,white raddish flaxseed oil for pain, coriander juice cabbage juice, beetroot pomegranates sprouts kalijeeri alkaline diet.. citrus fruit..no sugar no nonveg diet no eggs no mushrooms no fried foods no processed or fermented foods and beverages...dudhi...water sipping sweet potato.... drumstick soup ginger jeera... cold pressed coconut oil massage and in naval lime juice pineapple with black pepper...under strict supervision of Doctor

abdominal ultrasound to rule out cause

Go for usg

Adv USG .May b appendicitis..

Adv usg abd pelvic

Needs urine analysis and USG.

Thanks@Dr. Siya Ram Sir.
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पहले रोगी का अल्ट्रासाऊड कराएं।ताकि उचित परामर्श दिया जा सके।

Suggest usg abdomen. May be appendicitis

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