Skip to Content

The Case of the Crying Baby

Surgical vs. Medical Management


Author(s)

Kari A. Mergenhagen
Infectious Disease
James J. Peters Veterans Affairs Medical Center
kari.mergenhagen@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 Areas

N/A

Educational Level

Undergraduate lower division, Undergraduate upper division, Graduate, Professional (degree program), Clinical education

Format

PDF

Type / Methods

Dilemma/Decision, Interrupted, Role-Play

Language

English

Subject Headings

Pharmacy / Pharmacology  |   Medicine (General)  |   Nursing  |   Anatomy  |   Physiology  |  


Date Posted

09/15/03

Teaching Notes

Case teaching notes are password-protected and access to them is limited to paid subscribed instructors. To become a paid subscriber, begin the process by registering.

Teaching notes are intended to help teachers select and adopt a case. They typically include a summary of the case, teaching objectives, information about the intended audience, details about how the case may be taught, and a list of references and resources.

Answer Key

Answer keys for the cases in our collection are password-protected and access to them is limited to paid subscribed instructors. To become a paid subscriber, begin the process by registering.

Comments