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The Case of the Crying Baby

Surgical vs. Medical Management



Author:

Kari A. Mergenhagen
Infectious Disease
James J. Peters Veterans Affairs Medical Center
kari.mergenhagen2@va.gov

Abstract:

The parents of a six-week-old baby girl know there is something seriously wrong with their child, but it takes a number of frustrating visits to the pediatrician before they finally get a correct diagnosis. Once they do, the parents must decide whether they want to seek a surgical solution or rely on a course of medical treatment for their daughter. Best suited for classes in pharmacology, nursing, or medicine, this case could also be used in a basic biology or anatomy course.

Objectives:
  • Recognize the importance of symptoms, signs, and probabilities in piecing together a diagnosis and treatment approach.
  • Understand the normal functioning of the urinary tract and pathology that can occur with abnormalities.
  • Describe the potential relationship between long-term prophylaxis use of antibiotics and antibiotic resistance. Natural selection and bacteria may also be explored.
  • Understand the relationship between an inherited, congenital kidney aberration and vesicoureteral reflux.
Keywords: Pediatric urinary tract; vesicoureteral reflux; long-term prophylaxis; antibiotic resistance; congenital kidney; urinary tract; dysuria; renal neuropathy
Topical Area: N/A
Educational Level: Undergraduate lower division, Undergraduate upper division, Graduate, Professional (degree program), Clinical education
Formats: PDF
Type/Method: Dilemma/Decision, Interrupted, Role-Play
Language: English
Subject Headings: Pharmacy / Pharmacology   Medicine (General)   Nursing   Anatomy   Physiology  
Date Posted: 09/15/03
Date Modified: N/A
Copyright: Copyright held by the National Center for Case Study Teaching in Science, University at Buffalo, State University of New York. Please see our usage guidelines, which outline our policy concerning permissible reproduction of this work.

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