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Genitourinary

Which of the following is most likely to be detected upon imaging the patient's genitourinary system?
A. Bilateral hydronephrosis	Kamsi, gr8doc, cashmed, alzheimer, filatino, sherry39	6	55%
B. Bladder dilation	MAGY17	1	9%
C. Bladder dyskinesis		0	0%
D. Unilateral hydronephrosis	radonc	1	9%
E. Ureteral dilation	Justice, dr in trouble	2	18%
11 votes

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8 Posts

skinyballs
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08/22/07 - 11:05 AM

A 65-year-old woman is admitted to the hospital for constant, severe abdominal pain that has worsened over the prior week. She has no other associated symptoms, such as nausea or vomiting, but has noticed that her daily urine output has sharply decreased. She has had a constant desire to urinate, but, when she tries, only a small amount of bloody urine is discharged. The patient is a long-time smoker, having smoked three packs per day for more than 45 years, although she claims to have quit 2 days ago. A bladder ultrasound in the emergency department reveals a mass consistent with bladder cancer, as well as significant urinary retention. Which of the following is most likely to be detected upon imaging the patient's genitourinary system?

A. Bilateral hydronephrosis
B. Bladder dilation
C. Bladder dyskinesis
D. Unilateral hydronephrosis
E. Ureteral dilation

Edited by new_n_lost on 09/03/07 - 01:33 PM. Reason: Ads Not Allowed in Posts

MAGY17
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08/22/07 - 12:13 PM

Justice
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08/22/07 - 12:43 PM

E. Ureteral dilation due to reflux

B is already diagnosed ("...as well as significant urinary retention...")
but the time is short to cause A. Bilateral hydronephrosis

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skinyballs
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08/23/07 - 09:42 AM

O.K., The answer is not E.

radonc
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08/23/07 - 10:12 AM

I would think A.

elitoki
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08/23/07 - 06:15 PM

If the answer is not B, it should be A.
Pte has chronic disease that is Bladder cancer. The obstruction-urinary outflow was chornic and after hypertrophy of bladder, it will dilate it and then due to retrograde overflow will cause bilateral hydronephrosis.

Answer is A
nod

Justice
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08/24/07 - 12:22 AM

elitoki wrote:
If the answer is not B, it should be A. The obstruction-urinary outflow was chornic Answer is A nod

Cited from the Q: "...her daily urine output has sharply decreased..." I do not see a chronic problem here... And how A can be without E?

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tamerbashir
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12/05/07 - 05:46 AM

B

?

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