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Clinical Quiz

African-American Woman with Urinary Frequency, Bladder Discomfort

A 28-year-old African-American woman presented with complaints of urinary frequency and bladder discomfort. She was found to have renal failure (creatinine [Cr] 4.1) and a urine culture was positive for Escherichia coli. She was treated with a full course of antibiotics but renal failure persisted. Medications included occasional nonsteroidals for headache and albuterol for asthma.…

Cystolithiasis in a Man With Painless Gross Hematuria

A robust 80-year-old male on active surveillance for low-risk adenocarcinoma of the prostate developed painless gross hematuria. He reported minimal to moderate lower urinary tract symptoms with an American Urologic Association symptom score of 10 and a quality of life score of 2. He does not use any medications for benign prostatic hyperplasia (BPH). His…

Hispanic Woman Admitted With Left Flank Pain

A 33-year-old Hispanic female was admitted for left flank pain and presumed “pyelonephritis.” The patient had been healthy until two weeks prior to admission, when she noticed her left flank pain. The pain had been present since. The pain seemed to worsen with certain body movements. The patient did not complain of fever, nausea, or…

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