{"presentation":{"slides":[{"elements":[{"x":5.446623093681917,"y":4.319654427645788,"width":89.32461873638344,"height":47.51619870410367,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

History:<\/strong><\/p>\n\n

\n\t
A 40 year male presented with complaints of dysuria for 6 months with occasional hematuria<\/li>\n\t
No history of decreased urine output or abdominal pain<\/li>\n<\/ul>\n\n
On examination: <\/strong><\/p>\n\n
\n\t
Mild supra-pubic and renal-angle tenderness<\/li>\n<\/ul>\n\n
<\/p>\n"},"subContentId":"fa2153cd-65e4-4694-9f88-86a16fc659ec","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":5.446623093681917,"y":47.51619870410367,"width":49.01960784313726,"height":43.196544276457885,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Investigations<\/strong><\/p>\n\n
\n\t
Urine routine microscopy and bacterial culture were sent <\/li>\n\t
USG KUB for urinary tract abnormalities in view of recurrent infections was done<\/li>\n\t
Urine for GeneXpert, MGIT culture and AFB stain were sent due to persistent sterile pyuria<\/li>\n<\/ul>\n"},"subContentId":"4bb8a108-6c43-494a-8273-127c43067de6","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":62.08867102396515,"y":69.25507559395248,"width":34.85838779956427,"height":25.91792656587473,"action":{"library":"H5P.Table 1.1","params":{"text":"
\n\n\t\n\t\t\n\t\t\t\n\t\t\t\n\t\t\t\n\t\t\t
Urine R\/M and C\/S<\/strong><\/span><\/td>\n\t\t\t Report<\/strong><\/span><\/td>\n\t\t<\/tr>\n\t\t
RBCs<\/td>\n\t\t\t 4-5\/HPF<\/td>\n\t\t<\/tr>\n\t\t
WBCs<\/td>\n\t\t\t 10-12\/HPF<\/td>\n\t\t<\/tr>\n\t\t
Routine Culture<\/td>\n\t\t\t Sterile<\/td>\n\t\t<\/tr>\n\t<\/tbody>\n<\/table>\n\n
<\/div>\n<\/div>\n"},"subContentId":"86382e75-84f6-4629-8719-2c6c3f6cca6f","metadata":{"contentType":"Table","license":"U","title":"Untitled Table"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":5.446623093681917,"y":6.479481641468682,"width":43.57298474945534,"height":86.39308855291577,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Sterile Pyuria: Differentials?<\/strong><\/span><\/p>\n\n
\n\t
Recently treated UTI (within last 2 weeks)<\/li>\n\t
Urinary tuberculosis<\/strong><\/li>\n\t
Chlamydia trachomatis, Mycoplasma genitalium, Ureaplasma urealyticum<\/em><\/li>\n\t
Prostatitis<\/li>\n\t
Presence of urinary catheter<\/li>\n\t
Urinary tract stones<\/li>\n\t
Urinary tract malignancy<\/li>\n\t
Fungal infections: Candida <\/em>species (in immunocompromised host)<\/li>\n<\/ul>\n"},"subContentId":"7d5e0a93-110f-43e0-b607-6a0dacc6fa17","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":67.53812636165577,"y":89.20086393088553,"width":30.501089324618736,"height":10.799136069114471,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Sterile pyuria. Wise et al. NEJM. 2015<\/span><\/span><\/span><\/span><\/span><\/p>\n"},"subContentId":"34c02d40-8025-464f-96c2-de8c663d4de1","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":51.19542483660131,"y":10.816004319654429,"width":39.97821350762527,"height":19.43844492440605,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
\n\t
Viral infections, such as Herpes, HIV.<\/li>\n\t
Interstitial nephritis<\/li>\n<\/ul>\n"},"subContentId":"8744c8c4-df57-4f51-aaaf-d5755c9880a0","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":5.446623093681917,"y":4.319654427645788,"width":88.23529411764706,"height":64.79481641468682,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Investigations<\/strong><\/span><\/p>\n\n
\n\t
\n\t
USG KUB:<\/strong><\/span> Diffuse asymmetric bladder wall thickening<\/p>\n\t<\/li>\n\t
\n\t
Urine AFB: <\/strong><\/span>Negative<\/p>\n\t<\/li>\n\t
\n\t
GeneXpert: <\/strong><\/span>MTB detected, sensitive to Rifampicin<\/p>\n\t<\/li>\n\t
\n\t
Treatment:<\/strong><\/span> HRZE started<\/p>\n\t<\/li>\n\t
\n\t
MGIT culture was found to be negative<\/p>\n\t<\/li>\n<\/ul>\n"},"subContentId":"184fe07d-c07f-487f-9a7f-2779de4bd40b","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}}],"keywordListEnabled":true,"globalBackgroundSelector":{},"keywordListAlwaysShow":false,"keywordListAutoHide":false,"keywordListOpacity":90},"override":{"activeSurface":false,"hideSummarySlide":false,"summarySlideSolutionButton":true,"summarySlideRetryButton":true,"enablePrintButton":false,"social":{"showFacebookShare":false,"facebookShare":{"url":"@currentpageurl","quote":"I scored @score out of @maxScore on a task at @currentpageurl."},"showTwitterShare":false,"twitterShare":{"statement":"I scored @score out of @maxScore on a task at @currentpageurl.","url":"@currentpageurl","hashtags":"h5p, course"},"showGoogleShare":false,"googleShareUrl":"@currentpageurl"}},"l10n":{"slide":"Slide","score":"Score","yourScore":"Your Score","maxScore":"Max Score","total":"Total","totalScore":"Total Score","showSolutions":"Show solutions","retry":"Retry","exportAnswers":"Export text","hideKeywords":"Hide sidebar navigation menu","showKeywords":"Show sidebar navigation menu","fullscreen":"Fullscreen","exitFullscreen":"Exit fullscreen","prevSlide":"Previous slide","nextSlide":"Next slide","currentSlide":"Current slide","lastSlide":"Last slide","solutionModeTitle":"Exit solution mode","solutionModeText":"Solution Mode","summaryMultipleTaskText":"Multiple tasks","scoreMessage":"You achieved:","shareFacebook":"Share on Facebook","shareTwitter":"Share on Twitter","shareGoogle":"Share on Google+","summary":"Summary","solutionsButtonTitle":"Show comments","printTitle":"Print","printIngress":"How would you like to print this presentation?","printAllSlides":"Print all slides","printCurrentSlide":"Print current slide","noTitle":"No title","accessibilitySlideNavigationExplanation":"Use left and right arrow to change slide in that direction whenever canvas is selected.","accessibilityCanvasLabel":"Presentation canvas. Use left and right arrow to move between slides.","accessibilityProgressBarLabel":"Choose slide to display","containsNotCompleted":"@slideName contains not completed interaction","containsCompleted":"@slideName contains completed interaction","slideCount":"Slide @index of @total","containsOnlyCorrect":"@slideName only has correct answers","containsIncorrectAnswers":"@slideName has incorrect answers","shareResult":"Share Result","accessibilityTotalScore":"You got @score of @maxScore points in total","accessibilityEnteredFullscreen":"Entered fullscreen","accessibilityExitedFullscreen":"Exited fullscreen","confirmDialogHeader":"Submit your answers","confirmDialogText":"This will submit your results, do you want to continue?","confirmDialogConfirmText":"Submit and see results","slideshowNavigationLabel":"Slideshow navigation"}}

Urine R\/M and C\/S<\/strong><\/span><\/td>\n\t\t\t	Report<\/strong><\/span><\/td>\n\t\t<\/tr>\n\t\t
RBCs<\/td>\n\t\t\t	4-5\/HPF<\/td>\n\t\t<\/tr>\n\t\t
WBCs<\/td>\n\t\t\t	10-12\/HPF<\/td>\n\t\t<\/tr>\n\t\t
Routine Culture<\/td>\n\t\t\t	Sterile<\/td>\n\t\t<\/tr>\n\t<\/tbody>\n<\/table>\n\n <\/div>\n<\/div>\n"},"subContentId":"86382e75-84f6-4629-8719-2c6c3f6cca6f","metadata":{"contentType":"Table","license":"U","title":"Untitled Table"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":5.446623093681917,"y":6.479481641468682,"width":43.57298474945534,"height":86.39308855291577,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":" Sterile Pyuria: Differentials?<\/strong><\/span><\/p>\n\n \n\t Recently treated UTI (within last 2 weeks)<\/li>\n\t Urinary tuberculosis<\/strong><\/li>\n\t *Chlamydia trachomatis, Mycoplasma genitalium, Ureaplasma urealyticum<\/em><\/li>\n\t* *Prostatitis<\/li>\n\t* *Presence of urinary catheter<\/li>\n\t* *Urinary tract stones<\/li>\n\t* *Urinary tract malignancy<\/li>\n\t* Fungal infections: Candida <\/em>species (in immunocompromised host)<\/li>\n<\/ul>\n"},"subContentId":"7d5e0a93-110f-43e0-b607-6a0dacc6fa17","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":67.53812636165577,"y":89.20086393088553,"width":30.501089324618736,"height":10.799136069114471,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":" Sterile pyuria. Wise et al. NEJM. 2015<\/span><\/span><\/span><\/span><\/span><\/p>\n"},"subContentId":"34c02d40-8025-464f-96c2-de8c663d4de1","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":51.19542483660131,"y":10.816004319654429,"width":39.97821350762527,"height":19.43844492440605,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":" \n\t Viral infections, such as Herpes, HIV.<\/li>\n\t Interstitial nephritis<\/li>\n<\/ul>\n"},"subContentId":"8744c8c4-df57-4f51-aaaf-d5755c9880a0","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":5.446623093681917,"y":4.319654427645788,"width":88.23529411764706,"height":64.79481641468682,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":" Investigations<\/strong><\/span><\/p>\n\n \n\t \n\t USG KUB:<\/strong><\/span> Diffuse asymmetric bladder wall thickening<\/p>\n\t<\/li>\n\t \n\t Urine AFB: <\/strong><\/span>Negative<\/p>\n\t<\/li>\n\t \n\t GeneXpert: <\/strong><\/span>MTB detected, sensitive to Rifampicin<\/p>\n\t<\/li>\n\t \n\t Treatment:<\/strong><\/span> HRZE started<\/p>\n\t<\/li>\n\t \n\t MGIT culture was found to be negative<\/p>\n\t<\/li>\n<\/ul>\n"},"subContentId":"184fe07d-c07f-487f-9a7f-2779de4bd40b","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}}],"keywordListEnabled":true,"globalBackgroundSelector":{},"keywordListAlwaysShow":false,"keywordListAutoHide":false,"keywordListOpacity":90},"override":{"activeSurface":false,"hideSummarySlide":false,"summarySlideSolutionButton":true,"summarySlideRetryButton":true,"enablePrintButton":false,"social":{"showFacebookShare":false,"facebookShare":{"url":"@currentpageurl","quote":"I scored @score out of @maxScore on a task at @currentpageurl."},"showTwitterShare":false,"twitterShare":{"statement":"I scored @score out of @maxScore on a task at @currentpageurl.","url":"@currentpageurl","hashtags":"h5p, course"},"showGoogleShare":false,"googleShareUrl":"@currentpageurl"}},"l10n":{"slide":"Slide","score":"Score","yourScore":"Your Score","maxScore":"Max Score","total":"Total","totalScore":"Total Score","showSolutions":"Show solutions","retry":"Retry","exportAnswers":"Export text","hideKeywords":"Hide sidebar navigation menu","showKeywords":"Show sidebar navigation menu","fullscreen":"Fullscreen","exitFullscreen":"Exit fullscreen","prevSlide":"Previous slide","nextSlide":"Next slide","currentSlide":"Current slide","lastSlide":"Last slide","solutionModeTitle":"Exit solution mode","solutionModeText":"Solution Mode","summaryMultipleTaskText":"Multiple tasks","scoreMessage":"You achieved:","shareFacebook":"Share on Facebook","shareTwitter":"Share on Twitter","shareGoogle":"Share on Google+","summary":"Summary","solutionsButtonTitle":"Show comments","printTitle":"Print","printIngress":"How would you like to print this presentation?","printAllSlides":"Print all slides","printCurrentSlide":"Print current slide","noTitle":"No title","accessibilitySlideNavigationExplanation":"Use left and right arrow to change slide in that direction whenever canvas is selected.","accessibilityCanvasLabel":"Presentation canvas. 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Clinical Scenarios Urinary TB

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Clinical Scenarios Urinary TB

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