Clinical Case:  Infectious Disease, Differential Diagnosis (Gap Fill Exercise)

 

Fill in all the gaps, then press "Check" to check your answers.

  •  Medical Setting: A 26 year-old woman, otherwise healthy, and recently returned from her honeymoon in Mexico is seen in an internal medicine clinic.

  •  Chief Complaint/History:

    • Burning with urination

    • Fever for 24 hours

    • right- sided flank pain

  •  Physical Exam:

    • Young woman, appearing uncomfortable

    • Temperature: 40

    • BP: 120/70 mm Hg

    • Pulse: 95

    • Abdomen-normal

    • Back & right-sided flank tenderness

    • Pelvic-no cervical motion tenderness

  • Laboratory information:

    • Urinalysis-esterase + (a quick test for the presence of white blood cells in urine)

    • WBC: 18.4K/ml

    • Creatinine-1.3 mg/dL; urine & blood cultures sent

       



       

The differential diagnosis would be (1) (2) (PID), (3) . Assuming that infectious disease, the likely pathogens are (1) (E . coli) (2) .