Urologic Diseases Essay
Case Overview
A 48-years-old white male complained of unremitting right flank pain, denies dysuria or fever. He does report significant nausea without vomiting. He has never experienced anything like this before. Urologic Diseases Essay
Possible Diagnosis
Nephrolithiasis refers to calculi in the kidneys whose symptoms are severe flank pain and nausea. Other symptoms are gross hematuria and dysuria (Capilouto, et al, 2021). This patient has nephrolithiasis because he presents with symptoms; right flank pain and nausea. The patient being is male and is of non-black race increases the risk for nephrolithiasis.
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Other Possible Diagnoses
Differential diagnoses for this patient are acute appendicitis, pyelonephritis, and renal abscess. Acute appendicitis is the inflammation of the inner lining of the vermiform appendix. It presents with right lower quadrant pain, nausea, anorexia, diarrhea, and constipation (Stringer, M. D. 2017). Pyelonephritis is a common cause of flank pain that is relatively mild, dull ache. On examination, palpation and percussion confirm flank tenderness. Pyelonephritis is a result of bacterial infection on the renal parenchyma. It clinically manifests with fever, chills, nausea, supra-pubic pain, dysuria, and vomiting. On examination, there is flank tenderness confirmed with percussion. A renal abscess is an intra-renal infectious process affecting the corticomedullary. Its causes are chronic nephrolithiasis, pyelonephritis, and bacterial infections of the kidney. It clinically manifests with severe flank pain associated with nausea, vomiting, and fever. Urologic Diseases Essay
Diagnostic Studies
Diagnostic studies are both laboratory investigations and radiological findings. Laboratory investigations that would lead to the diagnosis are urinalysis, complete blood count, c-reactive proteins, and serum uric acid. Imaging studies include pelvic ultrasonography, kidney ureter, and bladder radiograph, and intravenous pyelography.
Basic Treatments
Paracetamol 1g P.O TDS relieves pain and ondansetron 8mg I.V TDS relieves nausea and vomiting (Capilouto, et al, 2021). The patient is advised to take plenty of water, fruits and vegetables.
A 48-year-old white man presents with unremitting right flank pain. He denies dysuria or fever. He does report significant nausea without vomiting. He has never experienced anything like this before. What is the probable diagnosis? What are other possible diagnoses? At this stage of the case study, what diagnostic studies and basic treatments are most appropriate to order and why? Please be specific and precise with answers. A table format or bullet points would be beneficial in presenting your information with clarity or organization. Reference for management of the case study: http://www.niddk.nih.gov/health-information/health-topics/urologic-disease/kidney-stones-in-adults/Pages/facts.aspx Urologic Diseases Essay
References
Capilouto, S. M., & Williams, C. D. (2021). Acute on Chronic Right Flank Pain. The Journal for Nurse Practitioners.
Stringer, M. D. (2017). Acute appendicitis. Journal of paediatrics and child health, 53(11), 1071-1076. Urologic Diseases Essay
