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Old 02-16-2012
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Default most likely dx

A 40-year-old woman with a history of multiple
sclerosis presents to her physician for routine
follow-up. She has been utilizing clean inter-
mittent self-catheterization for the past 3
months. She denies any abdominal or fl ank
pain. She has a temperature of 37C (98.6F)
and blood pressure of 120/80 mm Hg. Her
WBC count is 4000/mm3. A urine culture is
positive for Escherichia coli.
(A) Acute cystitis
(B) Asymptomatic bacteriuria
(C) Benign prostatic hyperplasia
(D) Central diabetes insipidus
(E) Detrusor instability
(F) Diabetes mellitus
(G) Gonorrhea
(H) Interstitial cystitis
(I) Nephrogenic diabetes insipidus
(J) Neurogenic bladder
(K) Prostatitis
(L) Psychogenic polydipsia
(M) Urethral stricture
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  #2  
Old 02-16-2012
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(B) Asymptomatic bacteriuria
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Old 02-16-2012
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Quote:
Originally Posted by tyagee View Post
A 40-year-old woman with a history of multiple
sclerosis presents to her physician for routine
follow-up. She has been utilizing clean inter-
mittent self-catheterization for the past 3
months. She denies any abdominal or fl ank
pain. She has a temperature of 37C (98.6F)
and blood pressure of 120/80 mm Hg. Her
WBC count is 4000/mm3. A urine culture is
positive for Escherichia coli.
(A) Acute cystitis
(B) Asymptomatic bacteriuria
(C) Benign prostatic hyperplasia
(D) Central diabetes insipidus
(E) Detrusor instability
(F) Diabetes mellitus
(G) Gonorrhea
(H) Interstitial cystitis
(I) Nephrogenic diabetes insipidus
(J) Neurogenic bladder
(K) Prostatitis
(L) Psychogenic polydipsia
(M) Urethral stricture
answer is B...since she is asymtomatic but colony count should be more than 100000.....
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  #4  
Old 02-16-2012
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i would tick B) asymptomatic bacteruria
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  #5  
Old 02-16-2012
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Quote:
Originally Posted by confident View Post
answer is B...since she is asymtomatic but colony count should be more than 100000.....
ya, that was the trick in this q. this is just neurogenic bladder not ASU since colony count is less.
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