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  #1  
Old 03-21-2012
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Urine Sample Old man with dysuria and frequency!

NOTE: this is a USMLE Consult-"inspired" question, so look away if you plan on using USMLE Consult as a measure of your progress.


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A 73-year-old man, happily married to the same woman for 43 years, presents with a 3-day history of frequent and painful urination. His past medical history is remarkable for an appendectomy 4.5 years ago. What ongoing medical condition may have predisposed him to having these symptoms?

A. Benign prostate hypertrophy
B. Horseshoe kidney
C. Gonococcal urethritis
D. Nongonococcal urethritis
E. Short urethra

(please explain your choice).
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  #2  
Old 03-21-2012
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isn't it A?
frequent and painful urination + 73 y.o. male ...
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Old 03-21-2012
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Nongonococcal urethritis
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Old 03-21-2012
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Meh, I wanted to say it was something like Reiter that gives a relapse 30 years after gonorrhea, but its not 43 definitely...

BPH would be the answer


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I like the option about short urethra.
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Old 03-21-2012
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I think the answer is A. BPH

BPH would explain frequent urination, but not painful urination. Also, it would not start this sudden, but slowly over a few weeks or months.
It would go well with his age (73).
Since the question asks what ongoing condition it might have been that predisposed him for the symptoms he is having, I think BPH predisposed him to get Urethritis/UTI, which makes urination painful.
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Old 03-21-2012
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Default answer = A.

the answer is A.

my question is, does BPH causes painful urination?
i didnt think so, so i went with D :/
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Old 03-21-2012
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Quote:
Originally Posted by Dr.NickRiviera View Post
the answer is A.

my question is, does BPH causes painful urination?
i didnt think so, so i went with D :/

It doesnt. But it you read the question carefully, it asks what condition PREDISPOSED him for having the symptoms he is having.
Bph predisposes for urethra and bladder infections. The burning is coming from some kind of infection, so D would be the right answer, but the question is asking for the underlying condition.
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Old 03-21-2012
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A.

Predisposing factors: Benign prostate hypertrophy, Horseshoe kidney and Short urethra
Causes: Gonococcal urethritis, Nongonococcal urethritis

Given the patients age, he most likely suffers from BPH
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Old 09-22-2012
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Angry WTF

I also thinked of nongonococcal urethritis
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  #10  
Old 09-22-2012
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old man -->happily married--->same woman-->definetly discard gonococal infection

literally Qs point out -- PREDISPOSE-- so there are 2 option BPH and short urethra

Its unlikely short urethra because there isnt history of cronic UTI in younger years, so my answer is BPH
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trupti (09-22-2012)
  #11  
Old 09-22-2012
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Quote:
Originally Posted by Dr.NickRiviera View Post
NOTE: this is a USMLE Consult-"inspired" question, so look away if you plan on using USMLE Consult as a measure of your progress.


----------------------------------------------

A 73-year-old man, happily married to the same woman for 43 years, presents with a 3-day history of frequent and painful urination. His past medical history is remarkable for an appendectomy 4.5 years ago. What ongoing medical condition may have predisposed him to having these symptoms?

A. Benign prostate hypertrophy
B. Horseshoe kidney
C. Gonococcal urethritis
D. Nongonococcal urethritis
E. Short urethra

(please explain your choice).
AA.BPH..AGE/marital history/frequent urination point toward ongoing medical condition>BPH>UTIs>painful/burning micturition

Last edited by trupti; 09-22-2012 at 07:29 AM. Reason: correction
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