<s>[INST] Hi im a nursing student from Australia, i was wondering if you could help me with a case study?55 year old woman   ?UTI and ?Renal Failure PMHx : T2DM, HT Medication: 180mg Diltiazem, 100mg Metformin, 10mg Glibenclamide, & 100mg CartiaPt is experiencing: nausea & vomiting, feeling generally unwell,  burning when passing urine, fatigue and low output. M.O prescribed Trimethoprim for ?UTIU/A showed RBC +++, PROTEIN++, TRACE WBC, Urine itself is cloudy and foul smelling BLOODS: Na 135, K 5.5, Cl 108,  Urea 12.0, Creatinine 1.5mg, Cholesterol 6, WBC 8, hB 105, Platelets 170, Hba1C 7%, Glucose 8.7, Total Protein 95.Pt has bilateral pitting oedema 600ml fluid restrictions (strict)OBS: BP 160/80, T 37.5, HR 95, RR 16 (Deep breathing pattern)What can you tell me about this info? Do you think it is more UTI infection or more Renal Failure ? and Why? [/INST] HI Thank for asking to HCMI really appreciate your concern the above given report are more suggestive of renal infection, failure is less likely further investigation would be needed, hope this information helps you take care and have nice day. </s>