abdominal pain dark urine | Sharp Abdominal Pain - Stomach, Upper, Lower, Right, Left Side Pain

abdominal pain dark urine

Abdominal Pain Dark Urine

cystitis mcq urine dark?

A 30-year-old Italian man comes to the walk-in clinic with abdominal pain.
He recently returned from a 2-week trip visiting his family in Sicily.
Three days ago, he visited another clinic, where he was given trimethoprim-sulfamethoxazole for cystitis, a problem that he has not had before.
His urinary tract symptoms have largely resolved, although his urine has darkened.

Recognizing the problem, the examining physician would most likely

A.
Recommend a steroid dose pack for 5 days.

B.
Check a urine culture.

C.
Obtain an abdominal ultrasound study.

D.
Check a blood count.

E.
Order liver function tests.

I would think to give a urine culture to rule out blood or conjugated bilirubin, but I also can see E being plausible. Anyone able to give me additional explanation on this? Thanks.

I suspect that this patient has G6PD deficiency (Glucose-6-phosphate dehydrogenase deficiency) and thus I feel that the sulfa drug triggered a bout of hemolytic anemia.

I would pick:

D. Perform a CBC.

Tags: , , , , ,