Case Study - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 08-25-2012
dr.ali2011's Avatar
USMLE Forums Scout
 
Steps History: Not yet
Posts: 96
Threads: 10
Thanked 24 Times in 23 Posts
Reputation: 34
Send a message via Skype™ to dr.ali2011
Default Case Study

An 18 years old unmarried female complains of burning micturation chronically,she states that she is suffering this as long as she remembers. she has no other active complains,and most of the doctors always put her on urine alkalyzing agents and some citric soda, but if she skips these medications or decreases water intake,again complains of burning micturation
Ultrasound: kidneys,ureters and bladder are normal
Urine R/E : puss cells 1-2/HPF
RBC 5-6/HPF
Epithelial cells 4-5/HPF

any suggestion guys?
Reply With Quote Quick reply to this message



  #2  
Old 08-25-2012
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 791
Threads: 76
Thanked 673 Times in 317 Posts
Reputation: 691
Default

Lower UTI....?????
Reply With Quote Quick reply to this message
  #3  
Old 08-25-2012
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 851
Threads: 88
Thanked 710 Times in 380 Posts
Reputation: 720
Default

But what are the options ?
__________________
"Don't Forget they need us too"
Reply With Quote Quick reply to this message
 
  #4  
Old 08-25-2012
Hitman's Avatar
USMLE Forums Master
 
Steps History: Not yet
Posts: 928
Threads: 17
Thanked 539 Times in 375 Posts
Reputation: 549
Default

looks like vesico ueteric reflux leading to recurrent UTI ....
Reply With Quote Quick reply to this message
The above post was thanked by:
dr.ali2011 (08-26-2012)
  #5  
Old 08-25-2012
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 19
Threads: 7
Thanked 22 Times in 7 Posts
Reputation: 32
Default Maybe cystinuria?

Cystinuria can cause chronic pain (she's had it as long as she remembers)
Treatment is alkalization of the urine with citrate supplementation or acetazolamide, and dietary modification to reduce salt and protein.
Reply With Quote Quick reply to this message
  #6  
Old 08-25-2012
dr.ali2011's Avatar
USMLE Forums Scout
 
Steps History: Not yet
Posts: 96
Threads: 10
Thanked 24 Times in 23 Posts
Reputation: 34
Send a message via Skype™ to dr.ali2011
Default

Quote:
Originally Posted by mis.med88 View Post
Cystinuria can cause chronic pain (she's had it as long as she remembers)
Treatment is alkalization of the urine with citrate supplementation or acetazolamide, and dietary modification to reduce salt and protein.
Regarding Cystinuria, she doesn't have any pain and no signs of nephrolithiasis,burning micturation is her chief complain, and it's since the age of 5,6.
any other suggestion and further investigations and treatment?
Reply With Quote Quick reply to this message
  #7  
Old 08-25-2012
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 19
Threads: 7
Thanked 22 Times in 7 Posts
Reputation: 32
Default

Emedicine:
Older children may more clearly communicate signs and symptoms associated with a UTI (eg, urgency, frequency, dysuria, incontinence), but, unless the UTI is associated with a fever, there is little reason to suspect VUR.

Does she have a fever? And does the question give any options?

Burning micturation since the age of 5 is usually followed with a VUGR.
Emedicine: Perform VCUG and renal-bladder ultrasonography in any child with a documented febrile UTI (>38 C) and any male child with a symptomatic UTI (febrile or nonfebrile) who is circumcised or has a normal foreskin.
Reply With Quote Quick reply to this message
The above post was thanked by:
dr.ali2011 (08-26-2012)
  #8  
Old 08-25-2012
dr.ali2011's Avatar
USMLE Forums Scout
 
Steps History: Not yet
Posts: 96
Threads: 10
Thanked 24 Times in 23 Posts
Reputation: 34
Send a message via Skype™ to dr.ali2011
Default

Quote:
Originally Posted by mis.med88 View Post
Emedicine:
Older children may more clearly communicate signs and symptoms associated with a UTI (eg, urgency, frequency, dysuria, incontinence), but, unless the UTI is associated with a fever, there is little reason to suspect VUR.

Does she have a fever? And does the question give any options?

Burning micturation since the age of 5 is usually followed with a VUGR.
Emedicine: Perform VCUG and renal-bladder ultrasonography in any child with a documented febrile UTI (>38 C) and any male child with a symptomatic UTI (febrile or nonfebrile) who is circumcised or has a normal foreskin.
Nope she doesn't have fever and no urgency or incontinence, her only symptom is burning micturation, i didn't get any option with the question
Reply With Quote Quick reply to this message
  #9  
Old 08-26-2012
USMLE Forums Addict
 
Steps History: 1+CK+CS
Posts: 149
Threads: 13
Thanked 46 Times in 34 Posts
Reputation: 56
Send a message via AIM to absolutjag9
Default

interstitcial cystitis?
Reply With Quote Quick reply to this message



Reply

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Case control study can't determine prevalence! Shahzaib USMLE Step 1 Forum 4 05-06-2013 12:36 AM
Compromising the Control Group in Case-Control Study Hope2Pass USMLE Step 1 Forum 20 07-13-2011 01:40 PM
Interpreting this Case Control Study! aghammoud85 USMLE Step 2 CK Forum 15 06-01-2011 07:04 AM
Looking for USMLE Step 2 CS study partner in Cleveland, OH, better near CASE doctor226 USMLE Step 2 CS Study Partners 0 02-26-2011 05:59 AM
Case Control Study Design Question Hunter USMLE Step 1 Forum 2 12-15-2009 08:01 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)