Conversation: The conversation between human and AI assistant.
[|Human|] My daughter is 15 and she is complaining of chest pain for the last 4-5 days, prior to it she had fever for a day (101), after getting her examined her test report shows E.S.R (westergren) - 24 and her urine shows Epithelial cells 8-10. kindly suggest what can be the cause for higher count?
[|AI|]  Hi dear, I understand your concern, such amount of pus cells usually caused by vulvovaginitis. You can consult her at gynecologist, she should wash her intimate areas with soda water 2 times and apply clotrimazole cream twice a day for 5 days, then repeat urinalysis. For chest pain you should get auscultated child at doctor to exclude bronchitis or pneumonia, in case of crepitation or weak pulmonary sounds X-ray can be performed. She has fever for 5 days, start to give antibiotics to her