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حالة سريرية 1


حالة سريرية 1


حالة سريرية

الوصف الكامل Background
An 18-year-old male college student is seen in the student health clinic for urinary frequency, dysuria, and urethral discharge. Which of the following is likely to explain his condition?
a. Herpes simplex
b. Escherichia coli urinary tract infection
c. Chlamydial urethritis
d. Syphilis
e. HIV infection
Dr.M-S's picture
by
السنة السادسة


i think it is the third choice

whatever's picture
whatever
بعد التخرج


b. Escherichia coli urinary tract infection

الطبيبة العجيبة's picture
الطبيبة العجيبة
السنة الخامسة


c. Chlamydial urethritis
تذكروا أنه لديه urethral discharge

the best's picture
the best
طالب دراسات عليا

In terms of urethral discharge , Nor HIV neither E.coli can cause it ..
the other choice it can cuase it , but the most common is the chlamydia ..
Green Wave's picture
Green Wave

Quote:
the other choice it can cuase it , but the most common is the chlamydia ..

-the other choices can -

Green Wave's picture
Green Wave


لا تواخذونا تأخرنا عليكن بالإجابة الصحيحة ، بس عرت الفلاشة لأحد الزملاء ، ووقت حطيتها بجهازي الحمدالله ما صار شي بس انضرب الويندوز

Dr.M-S's picture
Dr.M-S
السنة السادسة


The answer is c, Chlamydial urethritis.

Dr.M-S's picture
Dr.M-S
السنة السادسة


Urethritis in an adolescent male is almost always a sexually transmitted disease (STD), either gonococcal or nongonococcal urethritis (NGU). Chlamydia trachomatis is usually the causative agent in NGU. Less frequently, NGU can be caused by Ureaplasma urealyticum, Trichomonas vaginalis, and yeast. Herpes simplex can cause an NGU, but it is considerably less likely than C. trachomatis. Gonococcal culture and Gram stain are easily available; chlamydial culture may not be. Direct monoclonal antibody tests as well as enzyme immunoassay and molecular probe tests are alternative methods for Chlamydia identification, although they are less sensitive and less specific than chlamydial culture. Urine ligase testing for chlamydia and gonococcus is available. Serologic testing for syphilis should always be done, but in none of its normal presentations is urethral discharge common. Testing for HIV should be offered and safe sexual practices encouraged; HIV does not cause urethral discharge. Urinary tract infection is not associated with a urethral discharge.

Dr.M-S's picture
Dr.M-S
السنة السادسة

Quote:
الحمدالله ما صار شي بس انضرب الويندوز

Laughing out loud Laughing out loud Laughing out loud
ياحراااااااااااااام
مسكين لابتوبك شو تعيس دائما بيخرب

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الطبيبة العجيبة
السنة الخامسة
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