This patient requires an internal examination-- specially whether uterus is free,
mobile, fornices are thickened/
tender/ non tender/ any nodularity in pouch of douglas.
Also does the
pain increase in relation to menses and decrease after wards, is there any
history of hematuria--if yes is it related to her menstrual cycle.she
needs three consecutive urine specimen for culture senstivity.
From Dr Tamkin and Dr Biswas and ArogyaUDHC team Output 2 on follow up (1st March 2013)
On examining the USGs, nothing is clear as such. In the Urine report, there is definite presence of an infection. It would be great if you could do a report of Urine Culture and then send us the report, based on which we can prepare the necessary antibiotic regimen.
For now Medications are follows
Flavoxate 1 Tab BD for 7 days Syrup Alkasol 2 Teaspoons TDS for 7 days
The pain that she spoke of needs to be examined by a gynecologist as soon as possible to check for the presence of any abscess.