A 2Y8M/F fever(high grade), lethargic having TLC of 22,800 and on urine microscopy pus cell-1 cell/hpf and FEW BACTERIA present. what is the SIGNIFICANCE/RELEVANCE OF BACTERIA IN URINE ??

Non HTN,T2DM.B/L loin pain with vomitings,BM .USG abd attached. .kindly comments on medical management and surgical management

Fch. 10yrs Right flank pain USG-Rt.nephrolithiasis. Mesentric lymphadenopathy. KUB & IVP.

A 75 year old female under treatment from elsewhere for UTI and CAD *Chief Complaints* She is unable to walk, feeling discomfort in left flank and mild fever too *History* She was started levoflox 500mg OD along with other drugs like wysolone, lorazepam, nitroglycerin, olmesartan etc since 10 February, and at that time she had 25 to 30 pus cells in urine and her S.Cr was 2.41 She has had analgesics for a brief time too few months back *Vitals* 07.03.2021 BP 100/80 P - 133/min Hb - 12.5 TLC - 17000 USG W/A - Raised echogenecity in both kidneys *Management* I have started her on Piptaz 4.5 gm TDS, Levoflox 100ml OD Kindly guide me in taking this case further, regarding management, like does piptaz need dose titration etc

A old male have chest pain,shortness of breath. Prostate enlarged 28.83g.Liver enlarged, Sr Uric Acid 10.4 SGPT 336, loss of appetites, allergic asthma. Swelling foot, constipation. Please Rx and Dx.