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Diagnosis of urinary tract infection to do what examination
I, history taking1, urinary frequency, urgency, urinary pain and other symptoms of bladder and urethral irritation, with or without dysuria, hematuria of the naked eye, etc. 2, lumbar pain, abdominal pain or pain in the bladder area.3, chills, fever, general malaise, loss of appetite and other systemic symptoms.4, the presence of stones, obstruction, urethral abnormalities and other complicating factors. Second, physical examination 1, general examination: temperature, pulse, blood pressure, respiration. Systematic examination.2. Specialized examination: renal palpation, renal area percussion pain, ureteral pressure points, bladder size, the presence of urinary retention, pressure pain, mass. Men should be examined for prostate gland, and if necessary, specialists should be asked to do external genitalia examination. Laboratory tests: three routine, liver, kidney function, urinary cell excretion rate, urine smear microscopy to find bacteria, clean mid-range urine bacterial culture plus colony count and sensitivity, urine β2 microglobulin, urinary lysozyme, urinary antibody-coated bacterial test (ACB), if necessary, plus urine sediment to find bacillus antacidus, tuberculosis mycobacterium culture, Mycoplasma, Chlamydia, and other pathogens.2. Instrumental tests: X-ray, chest radiographs, electrocardiogram, double radiographs, and other tests. Chest X-ray, electrocardiogram, ultrasound of both kidneys, abdominal plain film, etc. If necessary, intravenous pyelogram should be added. If necessary, intravenous pyelography, excretory urography, isotope nephrography, etc. 3, special tests: cystoscopy, if necessary.
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