A 25 year old male complains of frequency of micturition and left loin pain

Discussion in 'Plab 1 and 2 forum' started by Partha Sarkar, Jul 7, 2013.

  1. Q. A 25 year old male complains of frequency of micturition and left loin pain. Urinalysis demonstrates a low pH and a low specific gravity. The most likely diagnosis is

    a) dilatation of the ureter

    b) horse-shoe kidney

    c) medullary sponge kidney

    d) renal tuberculosis

    e) renal papillary necrosis

    f) vesico-ureteric reflux

    g) ectopic kidney

    h) pelvi-ureteric obstruction

    i) posterior urethral valves

    j) duplex kidney
  2. Neha Gupta

    Neha Gupta Active Member

    NS D

    as these specific finding in urine exam corresponds with that

    Renal tuberculosis is a secondary manifestation and is caused by a blood-borne metastatic organism; there is already a hypersensitive reaction produced by the previous primary infection in the lungs. The previous infection may have occurred many years before, after the inhalation of droplets of exhaled infected bronchial secretions. Most of these metastatic lesions heal, because the bacteremia is not intense. After a person has been infected, however, live M. tuberculosis organisms can be harbored anywhere in the body and can become reactivated if the appropriate circumstances occur. The acidic urine and low specific gravity point to the diagnosis of TB.

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