Yahoo Answers is shutting down on May 4th, 2021 (Eastern Time) and beginning April 20th, 2021 (Eastern Time) the Yahoo Answers website will be in read-only mode. There will be no changes to other Yahoo properties or services, or your Yahoo account. You can find more information about the Yahoo Answers shutdown and how to download your data on this help page.

what renal disease has these signs and symptoms?

here is the case, a 35 year old newlywed female seeks consultation at the ER with chief complaints of acute abdominal pain diffused on the right side, fever of 39.5 degrees, negative bowel movement, distended abdomen, without any rebound tenderness, negative pain at mcburney's point (so appendicitis is out of the question)..

and then she has a wbc result of 15,000.. regular menstrual flow..

were guessing a UTI, and that it is a possibility that its transmitted via sexual intercourse since she is a newlywed.. but we dont know why there is abdominal distention and negative bowel movement..

any ideas? points to back up your diagnosis?

3 Answers

Relevance
  • 1 decade ago
    Favorite Answer

    What does negative bowel movement mean? I've never heard anyone use that phrase. I guess different countries have different terminology.

    Is this an actual patient or a question on a test? Does it have to be renal? I would first test for a uti or kidney stones. Apparently kidney stones can cause abdominal distension. It could also be gonorrhea causing urethral inflammation and infection. As for her status as a newlywed, I suppose it depends on where she lives, what her cultural background is, but for a western woman at her age, it probably doesn't mean that she's sleeping with him for the first time (and catching a uti), although she is probably having frequent sex. If it's not renal, I would also look into the possibility of a pregnancy, highly suspect of tubal pregnancy.

    But if it's definitely renal, and all this information is given on an assignment, I would suspect a UTI/kidney infection.

    Source(s): RN
  • Anonymous
    5 years ago

    Sometimes renal failure (kidney failure) comes like a gigantic shock. The signs don't seem to be extreme adequate to also be spotted till the kidneys are practically burnt up. Sometimes renal failure is abrupt and its stuck on a metabolic panel while the creatnine begins going upwards. Usually the first signs pts begin to detect is a flu like feeling, they lack power, and the power they as soon as had, then the nausea begins in and signs of tiredness come alongside. Usually through this time they cross to the general practitioner after which they're instantly so unwell dialysis turns into foremost adequate they ought to have a catheter installed and be dialized earlier than a further day passes. Some pts in renal failure urinate and a few simply all of the sudden quit and this makes fluid stability tricky. The ones who quit urinating are placed on fluid regulations. They are given a exact quantity of water or beverages they're allowed to drink in an afternoon and ought to abide through that or they turn out to be in fluid overload and cross into pulmonary edema. It is simply very tricky to mention what signs seem at what degree of the sport. Usually early at the nephrologist screens the metabolic panel and places in an AV fistula in case the kidney role deteriorates to the factor dialysis is a demand to maintain existence. Sometimes pts get a dialysis cure and so they get monitored to come to a decision if they want a further one. Then while it turns into completely nessessary to dialize them time and again, considering their creatinine does now not upgrade, they're placed on a movements dialysis time table. Each pt is ready to manage an additional measure if kidney failure. Elderly men and women are much less ready to manage renal failure. Drug brought about (cocaine) brought about high blood pressure has blown plenty of kidneys in our however. Diabetes mostly is the number one kidney destroyer.

  • 4 years ago

    1

    Source(s): Beat Kidney Disease http://teres.info/KidneyHealth/?Q3Me
Still have questions? Get your answers by asking now.