Hello sir and thank you for posting your query..
Welcome to HCM .
I read your question completely and have understood it well.
I being a surgeon, we come across so many such cases..
Well, your patient is suffering from Uti. Cause unknown and also, his
hypertension needs treatment. Can I know his age!?
I would like to analyze the following things..
1. Burning micturation with plenty of pus cells is a definite indication of
urinary tract infection. Uti.
He needs further evaluation.
Get his urine culture sensitivity done.
We can know the organism responsible for this and also what antibiotic to be prescribed..
2. Please treat him with antibiotic for 14 days..
3. Since you also say, pain
radiation to lower
limbs.
It could be a ureteric calculus responsible for Uti and in such cases we do observe radiation of pain to groin, tip of penis, thighs and sometimes to legs too!!
So please get a renal usg.
It will show if there's any
hydronephrosis or calculus..
And we can treat accordingly...
4. But most importantly, his hypertension. Diastolic BP is too high. Treat him for the same..
Hope I've cleared your doubts. In case you need any further assistance please let me know. Take care and God bless.