Pathogenesis

36. Urinalysis Paralysis.pptx

Diagnostic pathway

Presentation

Typical features:

• Urinary frequency, urgency
• Dysuria (pain or discomfort on passing urine).
• Urine that is offensive smelling, cloudy, or contains blood.
• Constant lower abdominal ache.
• Non-specific malaise, such as aching all over, nausea, tiredness and cold sweats.
• Urge incontinence.
• Typical features may be absent in the frail/elderly/confused
• New costovertebral tenderness. Rigors. New onset delirium. Fever greater than 37.9°C or 1.5°C above baseline.
• Loin pain and/or fever - suspect acute pyelonephritis.