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Plans for Diagnosis

Plans for Diagnosis. Pyelonephritis CBC, blood culture and sensitivity Urinalysis Ultrasound or CT Scan of the kidney Tuberculosis Chest X-Ray Sputum AFB smear (morning) for 3 consecutive days Mycobacterium TB culture and sensitivity CBC, SGPT, SGOT, alkaline phosphatase.

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Plans for Diagnosis

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  1. Plans for Diagnosis • Pyelonephritis • CBC, blood culture and sensitivity • Urinalysis • Ultrasound or CT Scan of the kidney • Tuberculosis • Chest X-Ray • Sputum AFB smear (morning) for 3 consecutive days • Mycobacterium TB culture and sensitivity • CBC, SGPT, SGOT, alkaline phosphatase Medicine Blue Book. 7th ed.

  2. Pyelonephritis • Two common laboratory tests to determine whether the kidneys are infected • Examining a urine specimen under a microscope • Culturing bacteria in a urine specimen to determine which bacteria are present • Blood tests may be performed to check for elevated white blood cells or bacteria in the blood • Ultrasound or helical (spiral) computed tomography (CT) studies may reveal kidney stones, structural abnormalities, or other causes of urinary obstruction http://www.merck.com/mmhe/sec11/ch149/ch149d.html#sec11-ch149-ch149e-588

  3. Tuberculosis • The sputum sample is examined under a microscope to look for tuberculosis bacteria and is used to grow the bacteria in a culture • Microscopic examination provides results much faster than a culture but is less accurate. It detects only about half the cases of tuberculosis identified by culture • However, traditional cultures do not provide results for many weeks because tuberculosis bacteria grow slowly • A widely available culture test can routinely identify Mycobacterium tuberculosis growth in 21 days http://www.merck.com/mmhe/sec17/ch193/ch193a.html#sec17-ch193-ch193a-448

  4. Tuberculosis • X-rays may show scarring (fibrosis) or hardening (calcification) in the lungs, suggesting that the TB is contained and inactive http://www.medicinenet.com/tuberculosis/page4.htm

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