Dr Nathan Spence
Region: GB
Wednesday 15 October 2025 16:13:20 GMT
9495
415
50
12
Music
Download
Comments
Zeliah :
First guy sounds like kidney stones, absolutely excruciating but not life threatening. The other sounds like an infection, potentially UTI or even worse pyelonephritis. I'd see the woman first.
2025-10-15 16:20:14
60
D. Scott Davis PT, MS, EdD :
#2 is more concerning but give #1 some pain meds first.
2025-10-15 23:39:01
21
Oluviera :
I’d see the one that came first.😭
2025-10-25 21:04:35
0
Simone Nikole199 :
I’d see the woman. I think kidney stones vs sepsis
2025-10-28 07:05:54
0
KayMP1970 :
2
2025-10-20 16:57:24
0
Dr Nathan Spence :
What’s the diagnosis?
2025-10-15 16:18:27
0
Zuhaib | AtoZmed :
First = renal colic - pain killers and further Ix to see best Mx option , second = pylonephritis - can lead to sepsis will need A-E, sepsis 6, Abx - 2nd patient priority
2025-10-15 16:26:34
4
nanalola :
1
2025-10-17 00:18:34
0
Angel Frick121 :
woman 2 almost sounds like a UTI got out of hand and she is starting to go septic? I would see her first and order pain meds for the gentleman in the meantime. I'm not medical enough to know what else the woman could have but man sounds like kidney stones
2025-10-20 18:38:26
3
wibbly05 :
I’m thinking the man has kidney stones which are excruciating but not life threatening and there isn’t a ton that can be done for them. It sounds like the woman has a severe UTI I’d see her first get cultures and start broad spectrum antibiotics, and then see the man give him necessary pain management
2025-10-15 23:18:40
3
Lissa🇵🇸🏳️🌈 :
#2 first, possible pyelonephritis and most likely needs iv antibiotics. Then #1 for kidney stones, pain meds & CT scan🤪
2025-10-16 01:53:41
5
Michael T :
#2 sound like pyelonephritis complicating a UTI and is developing sepsis (Drowsy, Flushed and unwell). she needs obs, antibiotics, a urine culture and likely fluid resus (+/- imaging if concerned for abscess complicating PN). Man has uncomplicated ureteric calculus. PR indocid +/- opioid protocol and CT kub to localise/characterise stone.
2025-10-28 02:33:44
0
xiphian :
never been here before but ill say the first guy
2025-10-15 16:16:46
1
Gabi :
Patient 2 x
2025-10-19 22:54:12
0
Strawberryfieldsforever :
2
2025-10-21 16:50:47
0
Kim :
The woman
2025-10-16 02:46:26
0
kitchensbyhan :
I ended up in hospital and on IV antibiotics for over a week with a serious infection from kidney stones 🤷🏼♀
2025-10-23 21:31:21
0
Keri F Beck-Covey ❌ :
2 first. The first one is more likely kidney stones.
2025-10-17 00:31:58
0
Jessica.H :
2nd patient i would see first sounds like a bad UTI that could possibly be turning septic, 1st patient sounds like kidney stones.
2025-10-21 18:07:19
0
TikTok Merlin :
hi. first time here but here is my guess. first guy could be appendicitis? and second woman could have UTI?
2025-10-19 23:48:38
0
Amelia Barker :
I would say number two because of the fever
2025-10-16 02:04:09
0
cmjgates725 :
The woman. MI?
2025-10-16 02:33:41
1
Macgyver :
2. one is kidney stones so he's going to have a BAD time but no fever.
2025-10-16 00:10:35
0
🐒𝓲𝓶𝓸𝓷𝓪 :
boohoo I'm second but I will pick number 1 because blood when urine is not good!
2025-10-15 16:21:17
0
Simone Nikole199 :
2
2025-10-19 08:53:51
0
To see more videos from user @drnathanspence, please go to the Tikwm
homepage.
