Take a look at some initial diagnostic testing below.
Urinalysis
Urine microscopy/urine sediment
Basic labs
Choose the highest-yield initial diagnostic tests!
Urine culture
Excellent! Identification of a urinary pathogen in this case will be extremely helpful. Her culture is positive for >100,000 colony forming units (CFU) of gram negative rods (GNR).
Kidney ultrasound
Image courtesy of Plain abdominal film
While approximately 90% of kidney stones are radio-opaque, making this a useful test, we might be able to spare our patient even this minimal amount of radiation.
Choose again!
Choose again!
Click here once you’re confident in your final diagnosis!
Case 32 Index
Case 32 Introduction
Case 32 Physical Exam