The Case of the Crying Baby
Surgical vs. Medical Management
James J. Peters Veterans Affairs Medical Center
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.
- 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.
KeywordsPediatric urinary tract; vesicoureteral reflux; long-term prophylaxis; antibiotic resistance; congenital kidney; urinary tract; dysuria; renal neuropathy
Educational LevelUndergraduate lower division, Undergraduate upper division, Graduate, Professional (degree program), Clinical education
Type / MethodsDilemma/Decision, Interrupted, Role-Play
Subject HeadingsPharmacy / Pharmacology | Medicine (General) | Nursing | Anatomy | Physiology |
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