3 cases of misdiagnosis of urinary tract infection

yxfbbiedtj · Wysłany: Pią 17:44, 25 Mar 2011

3 cases of urinary tract infection of misdiagnosis

ot; C, heart and lungs were normal. Mild tenderness in the bladder area. T protein in urine (+) lO ~ 15 red blood cells / high power, white 3 to 10 / high power. Pyelography bladder trigone that t g - the size of egg yolk mass. After surgical removal. Pathological diagnosis of bladder tumors. Down 3, M 33 years old. Due to repeated, frequent urination, fat pain more than 3 years. T diagnosis of urinary tract infection. Anti-inflammatory drugs given to relieve symptoms. In vivo tT36.5 Heart and lung was normal. Region of both kidneys no tenderness and percussion pain - tenderness in the pubic symphysis area (soil) RBC3.9 × 10, LHbl08g, LWBC4.7 × l0 '/ LP0.69, L0.3l. J urine 15 to 20 white blood cells / high power, 3 to 5 pus cell / high power. Examination of the prostate surgery Gui slightly enlarged prostate DRE, touch pain (+). Prostate testing, pus, white cell spore full view / Hp. T prostatitis diagnosis. 2 to discuss rebellion in urine, urgency, dysuria and low back pain and other symptoms of course, as the Anglo-shaped urinary tract infection. Inverted 1 urine of renal tuberculosis and pyelonephritis is very similar to the changes. However, after several anti-inflammatory therapy is repeatedly made available Ke tuberculosis should be considered, especially in repeated urine routine examination a small amount of protein, a large number of red blood cells and stomach cells, the urine is strongly acidic, it should be considered Ke renal tuberculosis should be further do urography, CT and other tests. Older, long-term recurrent urinary tract infection Jue, the anti-inflammatory treatment is not poultry, should be alert to the tumor can be Ke. Urinary system of such patients due to mucosal damage, defense function Wo susceptible to bacterial infection back. Often difficulties, frequent urination, bladder irritation Anglo-shaped combined routine urine and urinary tract infection similar, misdiagnosis, therefore, repeated the elderly feces system infection, the eye or microscopic hematuria should do cystoscopy and intravenous pyelography in. Qin repeated down 3 men urinary tract infection should be considered a) 1W6 l1 clamor on 1 case of red mold allergy. . j. ~ The most Xiufen Changchun advance whether the hospital n · t there for prostate disease, possession utility, the chu Church rules for prostate examination. If I taste (6 patients editors understand shape the chalk 'small stick blue chalky blue turtle! A Changling County Hospital y) a-; f} _7 rifampicin (RFP) from the bow I teach fewer reports of influenza syndrome. I will now report back the following institutions met 6: I clinical fees material down the group of 6, 4 males and 2 females, down, aged 25 to 46 years. Results are really saying to the lung edge of the untreated patients. HSR programs are used to give isoniazid 400rag / day, streptavidin tangled 0.75g or 1. og / day, rifampicin 6e0mg / day treatment. 6 cases were the first treatment 8, lO, 14,15 days of chills, fever (38,7 ℃ ~ 4o.1 ℃), with headache, dizziness, bone pain. RFP back to stop taking the heat, symptoms of which 2 back in 20 days to 1 month after the fork from the service of rifampicin, and then shake a case of the above described Anglo female patients, aged 47} fever, chest pain, expectoration of more than lo hospital days later treatment. In vivo tT38.2 ℃, generally adequate, no cyanosis, shortness of breath. Two-tone lower lung Hu Ai weakened - and wet rales could be heard. Laboratories seized in the {Hb80g / 1. , WBCI2.4X10 ', L, Sg0.9-L0.10, x-ray diagnosis as lobar pneumonia. The hospital due to penicillin, streptomycin refuse to adopt the mold allergy screen possession of 0.3g glucose plus lo 50Oral, Qing Trappe lO orderly 240,000 units plus intravenous glucose injection reservoir 500mI. Jing Li River process,[link widoczny dla zalogowanych], patients and the red, palpitation, nausea ah,: gel ankle instability. Blood pressure 18 +6 / 10,4 kPa, lungs full of wheeze, the treating physician that the Anglo-shaped pulmonary infections, bronchial spasm, give aminophylline orange lOmg 0.25g plus intravenous dexamethasone injection seep after remission. Day 2 disabled gentamicin. Continue to increase with erythromycin 0.75g lo intravenous glucose injection 50Oral seep attention. Zi Jing Li River and then the process of the above phenomenon, and shallow breathing rate of 48 Huan / min, pale purple - now give oxygen to nitrogen theophylline 0.25g, may support dexamethasone 10mg Lamine 0.375gx5 glucose plus 5 and intravenous fluid infusion 50Ond cedilanid, furosemide and so on. Patient's condition but not remission, was extremely anti-difficulty breathing, coma and quickly, nodding like breathing, lo / min. Blood pressure dropped to 10. o / s. 6kPa. At this time doctors still think it is lung infection complicated by respiratory distress syndrome. Park rescue needed infusion channel, before removal of erythromycin. Intravenous dexamethasone 20nl pits immediately, 40mg plus lo glucose injection 500m] of continuous intravenous injection seep. About l5 minutes after the breathing gradually improve blood pressure rise. 2 hours after the symptoms eliminated. Prescription based upon the day before the first 3 days with adriamycin fluttering of flag-cylinder. 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