Name: Arjjana Sivaloganathan
Theme: Urinary Tract Infection
OPTION LIST
|
A |
Acute
Prostatitis |
I |
Interstitial
Nephritis |
|
B |
Acute
Pyelonephritis |
J |
Intrarenal
Abscess |
|
C |
Asymptomatic Bacteruria |
K |
Papillary
Necrosis from Analgaesic Overdose |
|
D |
Bladder
Tumour |
L |
Perinephric
Abscess |
|
E |
Calculi |
M |
Polycystic
Kidney |
|
F |
Chronic
Prostatitis |
N |
Renal
Tuberculosis |
|
G |
Cystitis |
O |
Urethral
Syndrome |
|
H |
Inadequately
treated UTI |
P |
|
For each scenario below, choose the
most appropriate answer from the list above. Each option may be used once, more
than once or not at all.
1. A
40-year-old Indian male presents to A&E with dysuria and back pain. He has recently noticed blood in his urine
and his past medical history reveals that he has had hypertension for 5
years. After some initial reluctance,
he admits to having HIV, which was diagnosed on his arrival in the UK 7 years
previously.
2. A
27-year-old Caucasian female, who is 7 months pregnant, presents to A&E
with a 2 day history of vomiting, rigors and loin pain. On examination, she is found to be pyrexic
(39oC). Urine dipstick
indicates the presence of leucocytes, nitrite, proteinuria and haematuria.
3. A
23-year-old Caucasian women presents to her GP with urinary frequency, urgency
and burning. She also complained of
slow stream as well as suprapubic pain.
She has had several UTIs in the past and analysis of her urine showed no
significant bacteruria.
4. A
50-year-old Caucasian male presents to his GP with sudden onset of painless, frank
haematuria. He reports that the blood
is of a deep red colour and has been treated for numerous UTIs in the past 6
months. He is a smoker, who admits to
smoking 20 cigarettes/day since he was 18.
5. A
42-year-old African American male presents to A&E with severe loin pain
that radiates to the groin. He
complains of painful urination, interrupted flow and increased urinary
frequency. Urine dipstick reveals the
presence of leucocytes, nitrites, haematuria and proteinuria. Intravenous uretogram shows a filling defect
of the right kidney.
ANSWERS
|
1.N |
2. B |
3. O |
4. D |
5. E |