Yesterday I published a snap praising a patient for his pain tolerability. However, my initial diagnosis was wrong!
He was one of the last patients on that day. He came with severe pain in this right loin. Due to extreme pain, he couldn't walk straight. He also had a history of passing red urine, along with a somewhat burning sensation during urination. Considering the history and pattern of the pain, I was quite certain that it was a ureteric stone case. Not having an ultrasound facility, I suggested a urine test.
I was expecting "numerous RBCs, and Crystals" in the test results. But, the results revealed numerous Pus cells! There were some RBCS but not to the level of a stone case. I then asked him about any recent sexual exposure. He tried to deny it, but it was not a firm denial! The report also didn't support him!
It was a urinary tract infection case, not a renal stone. Hence, my initial assumption was wrong!
A pre-dawn photograph, unrelated to the text!
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