Question 206 · LEK · Other
A 27-year-old patient comes to the emergency department at 29 weeks of her first pregnancy complaining about a fever up to 38.3°C for the last couple of hours, 2 episodes of vomiting and back pain. Ultrasound examination reveals a normally growing living foetus, normal placenta located in the fundus and the full bladder. On palpation, the abdomen is not rigid but tender in the hypogastric area. On bimanual vaginal examination no pain during cervical motion is observed. The percussion of the lumbar area, especially on the left side, is very painful for the patient. What do you suspect?
- A. acute appendicitis.
- B. acute cystitis.
- C. left-sided renal calculi.
- D. acute pyelonephritis.
- E. hydronephrosis due to the pressure of the pregnant uterus on the ureter.
Hint
Combine the systemic signs of infection with the site of tenderness on percussion.
The answer, the explanation and a note on every option are available once you log in. The account is free: topic tests, a mock exam, mistake review and statistics.
More questions on Obstetrics and gynecology
- All of the following are features of Swyer syndrome, except from:
- In a pregnant (41 week of pregnancy) CTG test was done. It showed a basic heart rate 145/minute. The heart rate started to drop to 110/minute at the…
- Which of the history or diagnostics information does not confirm the diagnosis of hypothalamic-pituitary insufficiency?
- Disulfiram-ethanol reaction may be expected in a patient with an infection of reproductive organs, who drank alcohol during the treatment with:
- Which of the following should not be used in the treatment of a urinary tract infection in a pregnant or breastfeeding woman?
- Which of the following is a non-invasive prenatal test that shows the highest sensitivity in the diagnostics of chromosomal aberrations in a fetus?