Problem Library

Is This Normal for Someone My Age?

Length: 3-6 hours

Discipline: Biological Sciences

Level: Intermediate (majors)

Author: Tallitsch, Robert

Eleanor, an 88-year-old widow and mother of two, visits RediMed late on a Sunday afternoon. Her chief complaint to the physician is that she is having recurring urinary tract problems. Because her family physician retired a few months ago, Eleanor does not currently have a “regular” physician. Because of this, and the fact that it is Sunday, Eleanor decided to come to RediMed. RediMed is a local clinic in the shopping mall that is staffed by a rotating series of physicians. Fifteen days later the pain has recurred, and the symptoms have become more severe. Upon urging by her family, she visits her daughter-in-law’s gynecologist. Students are expected to arrive at a diagnosis as well as develop a three-dimensional understanding of the anatomy and relationships of the uterus, vagina, sigmoid colon, bladder, urethra and rectum.

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