英国南安普顿代写护理论文:泌尿生殖系统检查

2020-01-06 08:29

经泌尿生殖系统检查，生殖部位有中度水肿，尤以阴茎干和阴囊为多，无压痛。在局限的阴茎或阴囊上没有明显的水泡或皮疹。上肢或下肢无相关水肿(图1)。经牙科检查，患者面部肿胀，触诊疼痛;具体地说，他的第二颗牙齿因明显的腐烂而变软了。周围牙龈肿胀，无波动。实验室检测包括全血计数、尿分析、尿培养、尿淋病/衣原体扩增试验均为阴性。治疗生殖器血管性水肿，给予苯海拉明、法莫替丁、甲泼尼龙，阴茎肿胀中度改善。经泌尿生殖科会诊，认为阴茎和阴囊的血管性水肿是由布洛芬过敏引起的。获得了面部骨骼的CT，以评估是否存在口腔区域的脓肿。在右腭扁桃体内侧下侧发现一个小的囊性病灶，在下颌骨外皮层发现一个右侧骨膜下脓肿。静脉抗生素(头孢氨苄)开始作为一个单一剂量治疗他的牙源性脓肿。患者使用阿莫西林克拉维酸盐(Co-amoxiclav)、苯海拉明、法莫替丁、强的松和对乙酰氨基酚/羟考酮出院。他没有回来做后续调查。
英国南安普顿代写护理论文:泌尿生殖系统检查
On examination of the genitourinary system, there was moderate edematous swelling in the genitalia region, specifically the penis shaft and scrotum, however no tenderness was present. There were no visible blisters or rash present on the circumscribed penis or scrotum. There was no associated edema present in the upper or lower extremities (Figure 1). On dental examination, the patient presented with right facial swelling with pain to palpation; specifically, his second tooth was tender with visible decay. The surrounding gingiva appeared swollen with no fluctuance. Laboratory test including complete blood count, urine analysis, urine culture as well as urine Gonorrhea/Chlamydia amplified assay which were all negative.For the treatment of the genital angioedema, the patient received Diphenhydramine, Famotidine, and Methylprednisolone with moderate improvement of the penile swelling. A genitourinary consult was obtained and concluded the angioedema of the penis and scrotal region to be due to ibuprofen hypersensitivity. A CT of the facial bone was obtained to evaluate for the presence of an abscess in the dental region. A small cystic focus in the inferior medial aspect of the right palatine tonsil, and a right-sided subperiosteal abscess along the outer cortex of the mandible were discovered. IV Antibiotics (Cephalexin) were commenced as a single dose to treat his odontogenic abscess. The patient was discharged on Amoxicillin-Clavulanate (Co-amoxiclav), Diphenhydramine, Famotidine, prednisone and acetaminophen/oxycodone. He did not return for a follow-up. 

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