Another case from Dr Clarke, GP in Consett, and SMT in the Wear Base Unit
Mrs Green, a 50 year old teacher dropped off a urine specimen at your Saturday morning surgery without waiting to be seen. She left a note with the sample stating that she had some burning and urinary frequency. The nurse dipped the sample which was positive for blood, leucocytes and nitrites, and duly sent it to Microbiology for microscopy, culture and sensitivity. You attempted to phone her to discuss this, but there was no answer at home, and her mobile was switched off.
It’s now Monday afternoon, Mrs Green has already rang asking if there are any results, and you have been given the following lab report;
Epithelial Cells 15/ul
>105 cfu/ml E Coli
In order to get some prescribing resources out there we intend to publish a series of prescribing problems on the website. The problems will appear at least weekly with the "answers" appearing a couple of days later. We'll use the standard exam stationery available on the LSE, but also available below in case you haven't got access to the LSE.