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Postgraduate Medical Journal 2005;81:139
© 2005 Fellowship of Postgraduate Medicine

SELF ASSESSMENT QUESTIONS

Urology

A patient with urgency, frequency, and low serum C reactive protein concentration

C-H Chen 1, Y-H Lee 1, W-S Tzeng 2, S K Huan 1

1 Division of Urology, Department of Surgery, Chi Mei Medical Centre, Tainan, Taiwan, ROC
2 Division of Urology, Department of Radiology, Chi Mei Medical Center

Correspondence to:
Correspondence to:
Dr S K Huan
Division of Urology, Department of Surgery, Chi Mei Medical Center, No. 901, Chung Hwa Road, Yung Kang City, Tainan, 710, Taiwan, ROC; skhsteven@yahoo.com.tw

Submitted 18 February 2004
Accepted 15 March 2004

Answers on 140.

The first 150 words of the full text of this article appear below.

A 74 year old woman was sent to the emergency room because of low abdominal discomfort, mild fever, and chillness for one day. She had a history of diabetes mellitus with poor medical control and a compression fracture of the thoracic spine. Urgency and frequency were also noted five days before this event. In the emergency room, she felt drowsiness and shortness of breath. On examination she had no peritoneal sign and her heart sounds were normal with sinus rhythm. Her blood pressure decreased to 90/60 mm Hg. Laboratory tests showed leucocyte 15 500/mm3, haemoglobin 94 g/l, and platelet count 38 000/mm3. Her blood urea was 8.6 mmol/l, creatine 106 µmol/l, fasting blood sugar 4170 mg/l, sodium 134 mmol/l, potassium 2.37 mmol/l, and C reactive protein 0.2 mg/l. Her liver function test and coagulation profile were all within the normal limit. Urine analysis showed pyuria and glycosuria.

. . . [Full text of this article]


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