Conversation: The conversation between human and AI assistant.
[|Human|] my mother is 75yrs and she is suffering from astama  and when i joined her in hospital they gave medicines and well now.but later they asked me to take her to nefrologist  and then i took her  then they asked me to take tests  1. ultrasonogram of the abdomen and pelvis in that report they have given kidneys  : right kedney  not visualized, and left kidney 91 x 47 mm and left kidney is normal in size increased cortical echotexture of grade ii noted cortical thickness is normal no calculi/ hydronephrosis  2. complete urine examination: test macroscopic examination : colour   :  yelloappearance : cloudyreaction:  acidicspecific gravity  : 1.010protein  :  present (+)sugar   :  nilMICROSCOPIC EXAMINATION :Pus cells   : plentyR.B.C.          10-15 /hpfepithelial cells:  2-3 /HPFCASTS: NILCRYSTALS nil          now she takes only liquid diet and nothing else. of course she is too hungry and asked everything. PLS SUJJEST ME WHAT IS THE ACTUAL PROBLEM
[|AI|]  Hi, Apart from asthma, what reports you have attached is indicative severe urinary tract infection (urine reports showing plenty of pus cells) and either her right kidney has shrank or dysmorphic or removed if she had undergone neurectomy. Anyway, she needs to be detailed medical history and thoroughly clinical examination by a urologist to get ruled out any other kidney pathology. She should continue her regular asthma treatment and might require antibiotics (quinolones specially levofloxacin in high dose or amoxicillin with clavulanic acid) to combat urinary infection completely with other symptomatic treatment. So, better take her to urologist immediately.