Patient complained about frequency and dysuria. Dipstick sho | Figure 1

TheFastDoctor
Family Medicine

Patient complained about frequency and dysuria. Dipstick showed trace of Blood, + Protein, pH of 7, +++ Leucocytes but NO Nitrites. As is my habit I sentrifuged the sample and put a drop from the bottom of the tube on a slide. No cylinders/casts seen, initiated antibiotic (CoTrimoxazole) with the guideline to return or seek help elsewhere if not much relieved in 2 days. Then she mentions that this recurs since her second pregnancy. I suggested next step would be urodynamic studies or at the very least ultrasound pre and post micturition. Agreed?

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66 y/o m c/o left side flank pain that radiates to lower back. The pt was ambulatory on scene and assessment was unremarkable to say the least. He was stable and did not appear to be uncomfortable or distressed but wanted to be transported to the ER to be checked out. The pt advised he drinks water regularly, but advised his urine was a dark golden brown color. I'm sure the gentleman is moderately dehydrated and while in route I run a 12-lead (because I want to be in the habit of doing so since I'm in school) and I noticed a SR with what appears to be a Bi-geminy of PACs. Benign I'm sure I just thought it was interesting despite the call.

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That is NOT an enlarged uterus.

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