Urinary Trait Infection
A mother brings her 4-year-old daughter concerned about a possible urinary tract infection. She reports her child has had three prior episodes of urinary tract infection in the last 15 months. The mother states that she had problems when she was a child. Urinary tract infections are generally common among children and can pose severe bacterial infection during childhood (Kaufman, Temple-Smith & Sanci, 2019). Therefore, early diagnosis and treatment of the condition is critical to help improve a child’s condition and lessen the significant economic burden it brings to the healthcare system. Diagnosis of this condition entails examining a patient’s family and medical history. Since the mother has indicated she had problems when she was child, the diagnosis would require collecting additional information regarding her family history. This would help establish whether the child’s condition is associated with a genetic predisposition (Leung et al., 2019). It is also important to obtain the child’s past medical history to understand treatment measures adopted to help manage previous episodes of the condition.
Following the diagnosis, the child can also be diagnosed with other conditions depending on insights obtained from patient history and physical examination. Some of the two differential diagnoses for the child’s condition include asymptomatic bacteriuria and urinary calculi. Depending on the severity of her symptoms and results of her physical examination, the child’s treatment plan could entail the use of medications and other therapies. IV antibiotics could be administered in different dosages and duration depending on her age and severity of the symptoms. These medications are administered as part of prompt antibiotic therapy since she is symptomatic. In addition, the child will be instructed to never hold urine to the last minute and take time to completely void herself. The mother will be advised to ensure the child has adequate fluid intake.
References
Kaufman, J., Temple-Smith, M. & Sanci, L. (2019, September 12). Urinary Tract Infections in Children: An Overview of Diagnosis and Management. BMJ Paediatrics Open, 3, 1-9.
Leung, A.K.C., Wong, A.H.C., Leung, A.A.M. & Hon, K.L. (2019, May). Urinary Tract Infection in Children. Recent Patents on Inflammation & Allergy Drug Discovery, 13(1), 2-18.
coli bacteria was essential given the purpose of the study, which aimed at determining how repeated cases f urinary tract infections were caused. Specific strains of the bacteria were identified from each of the seventeen infants initially diagnosed with a urinary tract infection that were a part of the study, and these were compared to cultures taken from infant during subsequent infections. The results showed that each infant had
A patient realizes increased need to urinate at night. There are episodes of chills and persistent fever that last for more than two days. A patient may also realize pain in the flank that runs along the back at about waist level (Harvey & Zieve, D, 2013). Vomiting and nausea is also common. Urinary Tract Infections in infants and toddlers tend to be more severe than in young women. This
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Urinary tract infections (UTIs) are characteristically the most prevalent healthcare-associated infection or HAI for short, in critical care place in America. The CDC or Centers for Disease Control and Prevention has projected that up over 150,000 hospital-onset, indicative catheter-associated UTIs (CAUTIs) happened in 2013, which brought about in as much as $160 million in superfluous straight medical costs (Kuntz, 2010, p. 319). Existing research inspects the possible reasons for such
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Differential Diagnosis Positive Data Negative Data Recurrent kidney infection Lower back pain, fever; pain localized to right lumbar and right CVA area; pain intensity 3-7 on Visual Analog Pain Scale (with 10 on VAS for natural childbirth) No family history of renal disease; sister with history of kidney stones day course of Cipro; symptoms returned in second week Pain from back does not radiate to bladder or pubic area Consuming cranberry juice and 4-6 glasses of water per
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