Endgames Spot Diagnosis

Urinary frequency and dysuria in an older woman

BMJ 2016; 354 doi: https://doi.org/10.1136/bmj.i4587 (Published 13 September 2016) Cite this as: BMJ 2016;354:i4587
  1. Joseph Dalby Sinnott, core surgical trainee1,
  2. David C Howlett, consultant radiologist2
  1. 1Department of Surgery, East Sussex Hospitals NHS Trust, Eastbourne, UK
  2. 2Department of Radiology, East Sussex Hospitals NHS Trust
  1. Correspondence to: J D Sinnott j.d.sinnott{at}gmail.com

A 66 year old woman with diabetes was admitted to the medical assessment unit with lower abdominal pain and dysuria. The patient was pyrexial (38.8°C) and had a white cell count of 17.1×109/L. A urine dipstick test was positive for leucocytes, nitrites, and blood. Computed tomography (fig 1) was performed because of the severity of the lower abdominal pain. What is …

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