This is an uncommon but important cause of the urethral syndrome.
• The classical symptoms are frequency day and night and a dull suprapubic ache relieved briefly by bladder emptying.
• The feature is small haemorrhages on distension of the bladder.
Generalised » fever
* sweating » rigors
* diarrhoea indicate renal Infect ion indicate renal Infect ion
(ciieck the following]
• blood pressure
* feebng of incomplete bladder emptying
* suprapubic discomfort hj+imatqriiJ offensive urine
loin tenderness ? maw vagina! examination rectal examination loin tenderness ? maw suprapubic tenderness vagina! examination rectal examination
Fig. 22.1 Clinical manifestations of urinary tract infection
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