Question

Mary comes to see Dr. Merry complaining of urinary frequency, burning, and dysuria.

1. Should you expect to get a urine sample from Mary? Why or why not?

2. If the sample shows bacteria and Dr. Merry orders sulfonamides for Mary, what side effects should she be aware of?

3. Could Mary expect to take sulfonamides on a daily basis for chronic UTIs? Why or why not?

Answer 1

1. What you expect to get in urine sample?

This may be due to urinary tract infection.

This frequency of urination, burning sensation on urination and dysuria are associated with urinary tract infection.

2. Treatment:

Yes, Sulfonamide can be used in treating urinary tract infection.

Side effects:

1. Hyper sensitive reaction, rashes, anaphylaxis

2. Photosensitivity

3. Crystalluria

4. Oliguria

5. Neuro side effects like insomnia

6. Hypo thyroidism, hepatitis.

3. Sulfonamide use:

No, Sulfonamide can not use for chronic UTI.

Because this cause serious adverse effects like Steven Johnson syndrome, anaphylactic shock etc.

Which is life threatening.