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Medicine General e56ad4f2

Most common presentation of Renal Tuberculosis is:

A
Renal colic
B
Sterile Pyuria
C
Intractable urgency
D
Painful micturition
High-Yield Explanation
Answer is B (Sterile Pyuria): The most common clinical presentation of Urological Tuberculosis is Sterile Pyuria. 'The most common clinical presentation of urological tuberculosis is sterile pyuria and painless hematuria - Textbook of Pulmonary and Critical Care Medicine `Renal Tuberculosis is probably underdiagnosed because it is frequently asymptomatic Many cases are diagnosed as a result of routine detection of sterile pyuria. The development of symptoms reflects a more advanced stage of disease' - Oxford Textbook of Medicine Classical Renal Tuberculosis Early Clinical Features: Symptoms of cystitis; Microscopic or macroscopic hematuria; Pyuria with negative bacterial culture (`sterile pyuria'); Constitutional symptoms. Late Clinical Features: Nephrolithiasis and ureteral colic; Intractable frequency and urgency; Refractory hypeension; Renal insufficiency due to obstructive nephropathy.

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