Dysuria with a Negative Urine Culture or When is a UTI not a UTI?

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The key to recommendations is “number needed to invite” Pooled Relative Risks for Breast Cancer Mortality From Mammography Screening Trials for All Ages Age Trials Included RR for Breast Cancer Mortality NNI to Prevent 1 Breast Cancer Death 39-49 y 8* 0.85 1904 50-59 y 6 † 0.86 1339 60-69 y 2 ‡ 0.68 377 Nelson HD, Tyne K, Naik A, Bougatsos C, Chan BK, Humphrey L. Screening for breast cancer: An update for the U.S. Preventive Services Task Force. Ann Intern Med 2009;151:727–37.
Younger women: screening interval controversy • Breast cancers grow faster in young women • If you screen 40-50, should probably be annually, given shorter sojourn time • 40–49: 2–2.4 years • 50–59: 2.5–3.7 years • 60–69: 3.5–4.2 years • Trade-off of benefits and harms – Cost, false positive screens, radiation exposure
Page 1 and 2: Women’s Health Clinical Pearls 20
Page 3 and 4: Case 1: ovarian cancer screening
Page 5 and 6: • elevated in CA-125 - ~50% of wo
Page 7 and 8: Under active investigation • Chan
Page 9 and 10: Case 2: family history of ovarian
Page 11 and 12: 1. BRCA 1/BRCA2 testing 2. BRCA 1/B
Page 13 and 14: Who should have additional testing/
Page 15 and 16: Pearls: family history of ovarian C
Page 17 and 18: Her most likely diagnosis? 1. bladd
Page 19 and 20: What can we learn from physical •
Page 21 and 22: Dysuria Pearls • Culture 2nd epis
Page 23 and 24: Her most likely diagnosis is: 1. St
Page 25 and 26: Distinguishing stress from urge •
Page 27 and 28: Incontinence pearls • No meds mak
Page 29 and 30: Reason patient would be offended if
Page 31 and 32: •
Page 33 and 34: Clinical pearls: what to do if she
Page 35 and 36: What should you do? 1. Prescribe th
Page 37 and 38: Obesity and contraception • In ob
Page 39 and 40: Pearls: pills for obese women • E
Page 41 and 42: How do you manage this patient? 1.
Page 43 and 44: Refractory vulvovaginitis • Persi
Page 45 and 46: Vaginal discharge pearls • Someti
Page 47 and 48: When should she have her next mammo
Page 49: Mortality reduction • Excellent e

Dysuria with a Negative Urine Culture or When is a UTI not a UTI?

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