Case Study For Patient Complaining Of Hematuria
Case Study For Patient Complaining Of Hematuria
A 20 year old male presents complaining of hematuria. He has a past medical history of ulcerative colitis. Describe the differential diagnosis and potential treatment. What health promotion activities are appropriate? How will you evaluate the current treatment of his ulcerative colitis? Case Study For Patient Complaining Of Hematuria
The differential diagnosis for the 20-year-old male complaining of hematuria and with a past history of ulcerative colitis is cystitis, Schistosoma haematobium, and pyelonephritis. Cystitis is an infection or inflammation of the bladder caused by E. coli. The infection is characterized by blood in the urine, an urge to urinate, a burning sensation while urinating, and bladder pain. Pyelonephritis is a kidney infection due to a bacterial infection that has traveled to the kidney from a bladder infection. The infection is characterized by hematuria, abdominal pain, fever, frequent urination, and flank tenderness (Bolenz et al., 2018). Schistosoma haematobium is a urinary blood fluke that deposits eggs in the bladder. This results in ulceration in the lumens of the bladder (Nacif-Pimenta et al., 2019)Case Study For Patient Complaining Of Hematuria . The potential treatment for the patient will involve administering antibiotics to clear cystitis and pyelonephritis. Common antibiotics include ciprofloxacin and nitrofurantoin. If the infection is severe, a ceftriaxone injection is administered. Praziquantel can be administered to treat Schistosoma haematobium.
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The appropriate health promotion activities for the 20-year-old patient include taking enough fluids daily and emptying their bladders during micturition. These promotion activities will help reduce the colonization of bacteria in the bladder, which reduces the spread of the infection. The patient should also be encouraged to remain faithful to one sexual partner if they are sexually active. This is because having more than one sexual partner increases the risk of contracting a urinary tract infection (Wagenlehner et al., 2020)Case Study For Patient Complaining Of Hematuria . The current treatment of ulcerative colitis will be evaluated by asking the patient about the symptoms they are experiencing. If the symptoms indicate severity, diagnostic tools such as imaging can be used to determine and detect the complications and extra-intestinal manifestations of inflammatory bowel disease. The hematuria is expected to cease when the medications are initiated. Severe pains associated with ulcerative colitis should subside once hematuria treatments are administered.
References
Bolenz, C., Schröppel, B., Eisenhardt, A., Schmitz-Dräger, B. J., & Grimm, M. O. (2018). The investigation of hematuria. Deutsches Ärzteblatt International, 115(48), 801.
Nacif-Pimenta, R., da Silva Orfanó, A., Mosley, I. A., Karinshak, S. E., Ishida, K., Mann, V. H., … & Rinaldi, G. (2019). Differential responses of epithelial cells from urinary and biliary tract to eggs of Schistosoma haematobium and S. mansoni. Scientific reports, 9(1), 1-15.
Wagenlehner, F. M., Bjerklund Johansen, T. E., Cai, T., Koves, B., Kranz, J., Pilatz, A., & Tandogdu, Z. (2020). Epidemiology, definition and treatment of complicated urinary tract infections. Nature Reviews Urology, 17(10), 586-600. Case Study For Patient Complaining Of Hematuria