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Question
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Which of the following is the most appropriate management for patients with neurogenic bladder due to spinal cord injury?
Explanation
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An annual renal ultrasound is recommended for patients with neurogenic bladder due to spinal cord injury to detect upper tract problems such as hydronephrosis or urinary tract lithiasis. Antibiotic treatment is not recommended for asymptomatic bacteriuria, and antimicrobial prophylaxis is discouraged due to lack of efficacy. An annual urinalysis is recommended but routine urine cultures are not necessary. Cranberry juice or cranberry pill supplements have been demonstrated to lack efficacy in several studies.
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Reference
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Page 190 Abrams GM, Ganguly K. Management of chronic spinal cord dysfunction. Continuum (Minneap Minn). 2015 Feb21(1 Spinal Cord Disorders)188-200. doi 10.121201.CON.0000461092.86865.a4. PMID 25651225 PMCID PMC4325904.
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Option 1
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Is Correct (Option 1):
Annual renal ultrasound
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Option 2
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Is Correct (Option 2):
Antibiotic treatment of asymptomatic bacteriuria
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Option 3
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Is Correct (Option 3):
Antimicrobial prophylaxis if postvoid residual is greater than 500 cc
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Option 4
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Is Correct (Option 4):
Monthly urine culture
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