Pielonefritis & Cistitis
Paciente femenina, 22 años edad, con cuatro días de cuadro febril severo, mareos, nauseas, vómitos, cefaleas, disuria, polaquiuria, y orinas muy amarillentas. La analítica básica muestra leucocitosis de 21,330 con desviación izquierda de la curva, examen de orina con 70-80 leucocitos y 12-15 hematíes por campo , creatinina 1,49 ( normal entre 0.70-1,40 ). El examen sonografico muestra vesícula biliar con aumento del grosor de su pared anterior que mide aprox 11,78 mm ( normal hasta 3 mm ) y marcado aumento de la ecogenicidad de ambos cortex renales con aspecto nuboso de estos que además se aprecian engrosados con respecto a las médulas renales. Ambos riñones lucen aumentados de tamaño. La vejiga urinaria muestra aumento del grosor de sus paredes ( 8,32 mm ) siendo lo normal hasta 3 mm. Se concluye con los diagnósticos de Colecistitis Aguda A-litiasica, Pielonefritis y Cistitis Aguda
Female patient, 22 years old, with four days of severe fever, dizziness, nausea, vomiting, headache, dysuria, frequency, and very yellow urine. The basic analytical sample of 21,330 leukocytoses with a left shift of the curve, urinalysis 70-80 and 12-15 red blood leukocytes per field, creatinine 1.49 (normal between 0.70 to 1.40). The sonographic examination shows gallbladder thickening of the anterior wall measuring approximately 11.78 mm (normal up to 3 mm) and marked increase of both renal cortex echogenicity with the cloudy appearance of these also appreciate thickened concerning kidney marrow. Both kidneys look enlarged. The urinary bladder shows increased wall thickness (8.32 mm) being normal to 3 mm.Se concludes with the diagnoses of acute cholecystitis A-lithiasis, Acute pyelonephritis, and cystitis
Pyelonephritis & Cystitis
Female patient, 22 years old, with four days of severe fever, dizziness, nausea, vomiting, headache, dysuria, frequency, and very yellow urine. The basic analytical sample of 21,330 leukocytoses with a left shift of the curve, urinalysis 70-80 and 12-15 red blood leukocytes per field, creatinine 1.49 (normal between 0.70 to 1.40). The sonographic examination shows gallbladder thickening of the anterior wall measuring approximately 11.78 mm (normal up to 3 mm) and marked increase of both renal cortex echogenicity with the cloudy appearance of these also appreciate thickened concerning kidney marrow. Both kidneys look enlarged. The urinary bladder shows increased wall thickness (8.32 mm) being normal to 3 mm.Se concludes with the diagnoses of acute cholecystitis A-lithiasis, Acute pyelonephritis, and cystitis
