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33 Possible Causes for Mental Lethargy, Suprapubic Pain

  • Cystitis

    Signs and symptoms include increased frequency of urination, pain or burning during urination, fever, cloudy or bloody urine, and suprapubic pain.[] Elderly people may have a change in mental state accompanied by fever, poor appetite and lethargy.[] Abstract We describe a case of a young female with lupus that complained about suprapubic pain, dysuria, fever and vomits, symptoms first interpreted as pyelonephritis, despite[]

  • Urinary Tract Infection

    Presentation The presenting features of lower urinary tract infection include frequent urination or an urgent need to urinate, dysuria, suprapubic pain and turbid or foul[] pain ( ) • “Offensive” smell, turbid urine ( ) • Prior infections of the urinary tract ( ) • Changed or new discharge, vaginal irritation ( ).[] , change in mental status Pregnant women are at increased risk for an UTI.[]

  • Acute Cystitis

    Signs of cystitis (Contrast with Pyelonephritis) Afebrile Suprapubic Pain No Costovertebral angle (CVA) tenderness VIII.[] Such signs or symptoms may include fever, rigors, altered mental status, malaise, lethargy with no other identified cause, flank pain, acute haematuria, or pelvic discomfort[] Symptoms of urgency, frequency, urinary burning, and suprapubic pain drive most women to the ED in search of a cure.[]

  • Pyelonephritis

    , fever and tenderness over the costophrenic angle (kidneys) Onset is often acute Suprapubic pain is also often present.[] Other possible signs and symptoms include: Dyspnea, difficulty breathing or shortness of breath Nausea and vomiting Lethargy Evidence of kidney dysfunction on blood tests[] Typical signs of urinary tract infection (UTI) are increased frequency of micturition day and night, dysuria, haematuria, smelly and cloudy urine and lastly, suprapubic pain[]

  • Acute Pyelonephritis

    Patients report the classic symptomatology: frequent and urgent urination, pain during the action, hematuria and suprapubic pain.[] There is unilateral or bilateral loin pain, suprapubic pain or back pain. Fever is variable but can be high enough to produce rigors.[] On physical exam you note suprapubic abdominal pain and CVA tenderness. The urinalysis reveals white blood cell casts.[]

  • Large Bowel Obstruction

    Children may show signs of lethargy and decreased age-appropriate mental status.[]

  • Bladder Calculus

    Symptoms may range in intensity i.e. they can be completely absent or patient will complain of suprapubic pain, dysuria, frequency, urgency, hesitancy and a small stream.[] Low serum sodium levels with mental status changes and lethargy confirm the diagnosis.[] pain, dysuria and disorientation.[]

  • Typhoid Fever

    The symptoms of bacteremia are gradual, and often include fever, headache, decrease appetite and change in mental status, like lethargy or decreased consciousness.[]

  • Pelvic Hematoma

    A few hours after the procedure, the patient complained of severe and persistent perianal and suprapubic pain, without relief factors at that time.[] There may be loss of consciousness, lethargy, and confusion. Source: Getty Images What is a hematoma?[] Initial symptoms may include a change in mental status, meaning an alteration in the wakefulness of the patient.[]

  • Lower Urinary Tract Infection

    The symptoms urgency, dysuria, suprapubic pain and loin pain were registered, and urine cultures performed at inclusion and follow-up visits 8-10 d and 5-7 weeks later.[] Such signs or symptoms may include fever, rigors, altered mental status, malaise, lethargy with no other identified cause, flank pain, acute haematuria, or pelvic discomfort[] 7.01 Lower Urinary Tract Infection (Cystitis) Presentation The patient (usually female) complains of urinary frequency and urgency, internal dysuria, and suprapubic pain.[]

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