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Theme: Urinary frequency   For each patient with frequency of micturition...

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Theme: Urinary frequency

 

For each patient with frequency of micturition, select the most likely diagnosis.

 

STEM 1:

A 25 year old woman has urinary frequency with severe urgency and suprapubic discomfort for the last two days, just after she last had intercourse.  Over the last 24 hours she has noted severe dysuria, nocturia, strangury and foul smelling urine.  She has a temperature of 37.9°C.  Initial laboratory studies show a white cell count of 12 x 109/L (4.5-11) and urinalysis reveals nitrites, leukocytes and trace of blood. 

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