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  #1  
Old 04-15-2014
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Default NBME7 doubt

there's a 71 year old man with BPH,microscopic hematuria,hypertrophy and thickening of the bladder wall.
what is he at greatest risk of?

renal papillary necrosis
bladder transitional ca
uretheral diverticulum
uretheral stricture
UTI

i thought renal papillary necrosis , cuz of the chronic outlet obstruction, leading to increased back pressure.
but its wrong.


can someone pls pls explain'~???
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  #2  
Old 04-15-2014
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I think it's UTI thats most common in BPH because of urinary retention.. mainly lower urinary tract infection... As bladder doesn't empty completely we have ascending infection of lower urinary tract.. renal papillary necrosis will be later complication of UTI but the patient is at the highest risk of UTI.. hope it helps
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Originally Posted by dr rookie View Post
there's a 71 year old man with BPH,microscopic hematuria,hypertrophy and thickening of the bladder wall.
what is he at greatest risk of?

renal papillary necrosis
bladder transitional ca
uretheral diverticulum
uretheral stricture
UTI

i thought renal papillary necrosis , cuz of the chronic outlet obstruction, leading to increased back pressure.
but its wrong.


can someone pls pls explain'~???
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dr rookie (04-15-2014)
  #3  
Old 04-15-2014
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yeah, figured it could be that too (after getting it wrong)

but in another thread i saw uretheral diverticuli as the answer.. ..


no idea what the consensus is.
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  #4  
Old 04-15-2014
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No idea about urethral diverticuli.. if u get explanation please do share.. thank u
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Originally Posted by dr rookie View Post
yeah, figured it could be that too (after getting it wrong)

but in another thread i saw uretheral diverticuli as the answer.. ..


no idea what the consensus is.
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  #5  
Old 04-16-2014
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Don't try to think too much...

if urin stays in the bladder for a longer amount of time, the likelihood of getting a UTI increase as the bacteria proliferate.
That's why women with UTI should drink a lot during the day and also before going to bed.

It is also answered in FA
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  #6  
Old 04-16-2014
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yup.. makes sense.
i think the urethral diverticuli answer, was probably one of the wrong answers floating abt.,
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Old 04-16-2014
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can u help me out with this too???

a 68 yr old woman with left homony hemianop for 2 wks, and to find the lesion on the c t...

its supposed to be on the right side, that i know. i put choice E, which seemed like the optic tract.
but it was wrong.

any insight?
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  #8  
Old 04-10-2015
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Default urethral diverticulum was answer to a different question

urethral diverticulum was answer to a different question which was about a mass in mid-third of vagina
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