Phys Clinical Cases · renal
Urinary Tract Infection AND Complicated UTI Pyelonephritis — DCE Clinical Case
DCE long-case and short-case station for Urinary Tract Infection AND Complicated UTI Pyelonephritis.
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Urinary Tract Infection AND Complicated UTI Pyelonephritis — Clinical Case
DCE Long Case
Patient brief
Patient: A middle-aged or older adult with multimorbidity and a presentation centred on Urinary Tract Infection AND Complicated UTI Pyelonephritis. [1]
Presenting complaint: Subacute or acute symptoms referable to Urinary Tract Infection AND Complicated UTI Pyelonephritis, with enough detail to force prioritisation. [1] [2]
Past history: Common cardiometabolic and organ comorbidities that interact with the plan. [2]
Medications: A polypharmacy list that includes at least one interaction or dosing issue. [2]
Examination: Key positives and critical negatives for dangerous differentials. [1]
Investigations: A small set of results that change management. [1] [2]
Tasks
- Present a prioritised problem list. [1]
- Defend investigations and immediate therapy. [1] [2]
- Provide safety-net and follow-up advice. [2]
Model discussion points
- Working diagnosis and acuity. [1]
- Differentials and discriminators. [2]
- Treatment sequence and monitoring. [1] [2] [3]
- Multimorbidity and communication. [2]
Short case
Focused examination or counselling station linked to Urinary Tract Infection AND Complicated UTI Pyelonephritis, with one interpretation task and one shared-decision point. [1] [2]
References
- [1]Forestier E, Soudais B, Caspar Y, Etienne M, et al. Antibiotic treatment of male urinary tract infections: scientific rationale behind the 2026 SPILF guidelines Infect Dis Now, 2026.PMID 42349553
- [2]Orcel V, Putot A, Boutfol W, Bruyere F, et al. Diagnosis of acute community-acquired bacterial urinary tract infections in adult men Infect Dis Now, 2026.PMID 42341879
- [3]Marinescu AD, Marinescu MC, Moisa SM, Cinteza EE Urinary Tract Infections in Children - Microbiological Challenges and Mechanisms of Bacterial Resistance Maedica (Bucur), 2026.PMID 41978870
- [4]Sparling K, Trang G, Juang EK, Vo K, et al. Social Factors Associated with Ultrasound Versus Computed Tomography Utilization Among Children Diagnosed with Pyelonephritis in the Emergency Department Acad Radiol, 2026.PMID 41986000
- [5]Madaras-Kelly K, Boyd J, Bond L Comparative effectiveness of oral antibiotics to treat uncomplicated urinary tract infections in male outpatients J Comp Eff Res, 2026.PMID 41883195
- [6]Meddings J, Chrouser K, Fowler KE, Ameling J, et al. Ann Arbor Guide to Triaging Adults With Suspected Urinary Tract Infection for In-Person and Telehealth Settings JAMA Netw Open, 2026.PMID 41609831
- [7]Xi Y, Yao T, Zhang C, Zhuang T Effectiveness of safety care and clinical nursing pathway in patients undergoing cardiovascular intervention: a randomized controlled trial Perioper Med (Lond), 2026.PMID 42469924
- [8]Marks FJ, Walters SJ, Sutton L, Jacques RM What statistical methods are more appropriate for predicting recruitment at the design stage of a randomised controlled trial? Trials, 2026.PMID 42469922