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  #1  
Old 06-27-2011
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Urine Sample acute pain abdomen and urinlysis

A 20 year old boy comes with acute abdominal pain and diarrhea. He has h/o 3 similar episodes before. Urinalysis shows:
Color: yellow-brown
Sp gravity : 1.024
RBCs: negative
WBC: 30 cells/hpf
Microscopy: gm negative rods, mixed flora.

What is ur diagnosis:

A. Celiac disease
B. Crohn's disease
C. Diverticulitis
D. Renal stone
E. Ulcerative colitis
F. Whipple's disease.
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  #2  
Old 06-27-2011
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i go for F hope so!
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  #3  
Old 06-28-2011
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i think it should be B) Crohns .Is the question form kaplan q bank?
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  #4  
Old 06-28-2011
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I think its B ????
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  #5  
Old 06-28-2011
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there must be a coonection between gi tract and urinary tract..so i m with crohn
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Old 06-28-2011
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look at here:
Abdominal Pain and this Urine Sample!
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  #7  
Old 06-28-2011
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B) Crohn's disease with fistula between colon and bladder. High WBC is clue. - Kaplan qbank question.
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  #8  
Old 06-28-2011
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why did we exclude renal stones?
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Old 06-28-2011
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Quote:
Originally Posted by earthpole View Post
why did we exclude renal stones?
Renal stones would be in the urinary tract, not GI. Therefore there would be no mixed flora.
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  #10  
Old 06-28-2011
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I'll go with B) aswell.

The fact that WBC are present and buzzword "mixed flora" it definitely fits better with Crohn's with fistula.
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  #11  
Old 06-28-2011
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Correct Answer B it is.

Crohn's disease is the right answer.
Mixed flora does suggest enteric fistula.
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  #12  
Old 06-28-2011
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i didnt notice normal flora
i will go with crohns
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  #13  
Old 06-28-2011
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Quote:
Originally Posted by mayursn39 View Post
i think it should be B) Crohns .Is the question form kaplan q bank?
yup.. !!
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  #14  
Old 06-29-2011
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Quote:
Originally Posted by mle2resident View Post
A 20 year old boy comes with acute abdominal pain and diarrhea. He has h/o 3 similar episodes before. Urinalysis shows:
Color: yellow-brown
Sp gravity : 1.024
RBCs: negative
WBC: 30 cells/hpf
Microscopy: gm negative rods, mixed flora.

What is ur diagnosis:

A. Celiac disease
B. Crohn's disease
C. Diverticulitis
D. Renal stone
E. Ulcerative colitis
F. Whipple's disease.
it z crohns disease, as fistula is formed that why GI flora invades bladdar via fistula connecting to bladdar, it is question from patho q bank

Last edited by leo lakhani; 06-29-2011 at 11:53 AM. Reason: spellig mistake
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  #15  
Old 07-01-2011
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Quote:
Originally Posted by leo lakhani View Post
it z crohns disease, as fistula is formed that why GI flora invades bladdar via fistula connecting to bladdar, it is question from patho q bank
Guys.... ...this is a crohn's case.
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