Conversation: The conversation between human and AI assistant.
[|Human|] My daughter is 16. She has had elevating kidney pain and some abdomen pain (around appendix area) for 2 weeks. We took her to the doctor. They performed an ultrasound. It showed an ovarian cyst had ruptured and another one was forming. We took her to the emergency room last night. Her blood work was completely normal. She had a catscan which was also completely normal. And a pelvic exam that was completely normal. Her symptoms conclude of fever, extreme coldness (to the point that she cant stop shaking), extreme kidney pain (mostly on right side, some on left), naseua, and elevated heart rate. She is so much pain that she cant walk or move. Any ideas on what it might be? Thank you.
[|AI|]  Hi. Thanks for your query. The pain in the right kidney and appendix area, shivering, fever, nausea inability to walk... all these symptoms can be suggestive of severe Pyelonephritis - a condition in which the infection of the urinary tract is so severe that even the kidneys get infected. This may not be found on CT and USG. I would advise her the following:Urine culture and sensitivity Blood culture and sensitivity. Urea, creatinine and all other relevant test. Admission to the hospitalIntravenous therapy of fluids and broad-spectrum antibiotics.