An 18-year-old female patient presents with repeated urinary tract infections. She has no risk factors in her history, and her physical examination is unremarkable. She also has a normal pelvic exam
Which of the following should be obtained if anatomic abnormalities are suspected?
A. Intravenous pyelogram
B. Ultrasound of the kidneys
C. Cystoscopy
D. Transvaginal ultrasound of the bladder
ANS: A
Risk factors for the development of a UTI include increasing age, recent sexual intercourse, a history of UTI, use of a diaphragm or cervical cap, and anatomic abnormalities. Urine cultures should be considered in the patient with recurrent UTI or refractory UTI and in the patient who appears toxic. Blood for CBC and electrolyte tests should also be drawn based on the overall clinical presentation. If anatomic causes are suspected, diagnostic imaging, such as KUB or IVP, should be arranged based on the suspected cause and patient's presentation.
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In the emergency department, a client's blood pressure is 66/40 mm Hg, pulse is 140 beats/min, and
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What statement best describes Hirschsprung disease?
a. The colon has an aganglionic segment. b. It results in frequent evacuation of solids, liquid, and gas. c. The neonate passes excessive amounts of meconium. d. It results in excessive peristaltic movements within the gastrointestinal tract.