65Year | Female

Chief Complaint

Patient presented with chief complaint of fever, flank pain on the right side, hematuria, dysuria, urinary frequency and Urinary incontinence for the past three days.

Vitals:

BP: 120/81

Pulse : 81bpm

Temperature: 100 F

Labs Ordered:

Labs were ordered for CBC, urine analysis,

Lab results:

Labs reported gram negative bacilli grown organism isolated was klebsiella pneumoniae.

Suggestions:

Patient was referred to see her primary care physician for her UTI and was asked to follow-up asap regarding her medication and further plans labs showed susceptibility to chloramphenicol, aztreonam, tigecycline, trimethoprim, piperacillin-tazobactom.

Patient was suggested to follow up after seeing her PCP and was suggested to take antibiotics (Trimethoprim) and also get a Renal ultrasound to see if any evidence of staghorn calculi. 

Follow up:

Patient followed up in a week with resolution of symptoms patient reported seeing the PCP and taking antibiotics for a week. 

Leave a comment