Theme: Urological clinical scenarios

Discussion in 'Plab 1 and 2 forum' started by Partha Sarkar, Feb 18, 2013.

  1. A Acute cystitis
    B Acute bacterial prostatitis
    C Acute pyelonephritis
    D Benign prostatic hypertrophy
    E Bladder calculi
    F Bladder cancer
    G Chronic bacterial prostatitis
    H Prostate cancer
    I Renal calculi
    J Renal carcinoma


    Please select the most likely diagnoses for the scenarios below.

    1. A 62-year-old man has a five month history of fatigue, perineal discomfort, lower back and loin pain. He experiences pain on micturition, and has recently lost 1 stone in weight.

    2. A 21 year-old woman complains of an 18 hour history of urgency of micturition, dyspareunia and malaise

    3. A 60-year-old man complains of painful haematuria and urgency. There is no abnormality on examination of the abdomen.


    4. A 72-year-old man presents to the Emergency department with acute back pain and leg weakness. He also mentions that he has been experiencing hesitancy and dribbling of urine for the last 12 months. On examination he has a spastic paraparesis and palpable bladder.

    5. A 52-year-old woman presents to the Emergency department with severe colicky pain radiating from her right loin to the groin. Analysis of her urine reveals +++ blood.

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