Clinical Case Database / Category: Case Based Discussion


Publication details

Fadi Al Housami MBBS, Marcus Drake FRCS
Foundation Years Journal, volume 1, issue 6, p.25 (123Doc Education, London, October 2007)


A 36 years old lady presents to the emergency department with left loin pain, nausea and vomiting. The pain has been increasing gradually over the past 24 hours with some fever and rigors. On further questioning it was revealed that she had two days history of urinary urgency, frequency and dysuria.
Her initial observations showed pyrexia of 38.6c, tachycardia 106/min and hypotension BP 95/30. On examination her abdomen was soft but tender in the suprapubic region. She was also tender in the left loin with tenderness over the left costovertebral angle.

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Fadi Al Housami MBBS

Clinical Research Registrar
Bristol Urological Institute

Marcus Drake FRCS (Corresponding author)

Consultant Urologist
Bristol Urological Institute
Southmead Road
Westburg-on Trym
BS10 5NB


1.  Tangelo E.A, McAmich J. Smith’s General Urology, 1st Ed, New York: McGrawHill 2000

2.  Brewster S. Cranston D. Noble J. and Reynard J. Urology: A Handbook for Medical Students. London: Bios Scientific Publishers Limited, 2001

3.  Blandy. J. Lecture Notes on Urology, 5th Ed, Blackwell Science 1998

4.  Wein A.J. and Kavoski R. Campbell’s Urology, 9th Ed, ISBN: 1416029664

5.  Reynard J. Brewster S. Biers S. New York: Oxford Handbook of Urology 2006

6.  eMedicine, accessed in August 2007


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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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