- c. A male patient with dysuria and frequency of micturition.
A 35 years male presents with dysuria, frequency of micturation and lower abdominal discomfort for 3 days. He is diabetic for 2 years and well controlled with oral hypoglycaemic drugs.
What is the diagnosis striking in your mind?
Acute cystitis (UTI)
What key questions would you ask?
Burning or scalding sensation during micturition
Increased frequency of micturition
Lower abdominal pain or discomfort
H/O Sexual exposure
Regarding control and complication of diabetes
What will you examine?
Examination may be normal other than suprapubic tenderness.
Investigations-
Urine for R/M/E- presence of pus cells
RBS
USG of KUB
Other essential investigations- MSU (midstream urine) for culture and sensitivity (usually not available in primary and secondary level)
Treatment-
Ciprofloxacin- 500 mg every 12 hours orally for 10 days
Or
Ofloxacin- 200 mg every 12 hours orally for 10 days
Plenty of fluid by mouth.