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Cases

Clinical Case # 4

44-year-old female presents with right flank pain of two-months duration.  She was diagnosed with pyelonephritis six weeks earlier and urine culture revealed E. coli.  The patient could not afford the antibiotics and therefore has not been treated.  She relates having fevers on and off, chills and cloudy urine.  Her vitals are stable with an oral temperature of 38.4C.  Her physical exam reveals her to be ill-appearing.  Her urinalysis reveals 30-100 RBCs/HPF and greater than 100 WBCs/HPF.  You perform an ultrasound of her right kidney and note the following:
Only published comments... Nov 22 2006, 05:05 PM by Rob
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