Case Study #1: Urinary Tract Infection | UTI

Official Ninja Nerd Website: ninjanerd.org
Ninja Nerds!
During this lecture Professor Zach Murphy will be discussing our first case study with you. This will be an interactive case study on the diagnosis and management of a patient with a urinary tract infection (UTI). We hope you enjoy this lecture and be sure to support us below!
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#casestudy #ninjanerd #UTI

[@infectdiseaseepidemiology2599]

As a medical school/epidemiology professor, I really enjoyed your excellent and logical case presentation. You are an excellent teacher, obviously. Great job!

[@NinjaNerdOfficial]

Thanks Professor, you would love our most recent- Case Study 4. Make sure to check it out if you have time!

[@mahmoudhasan5158]

More cases pls.. love this type of videos ❤️

[@gamingwithgeezers3649]

We are planning to do these every Wednesday, 1pm ET, 5pm UTC. Join us! Link to the Discord in the description!

[@saaddaas4114]

Good 👍 we need more

[@tamaraspillis612]

Dehydration

[@keithhutchins8803]

@@gamingwithgeezers3649 Yes please!

[@dorothy-myrasackey6511]

Thank

[@nicolecueli]

As a retired nephrologist, everytime I come to visit my daughter in school I like to go to her computer and check this videos for fun. The way you conducted the case presentation was excellent starting from the basic tests and building the case from the bottom up. Of course as a nephrologist as soon as I started listening the case the first thing I started to yelled was fluids, fluids, fluids even though I can start the eternal argument with the pulmonologist and the cardiologist but your student can worry about that 10 years from now. Again excellent conduction of the case presentation and very good didactics for your students.

[@angeloafonsofabris]

That was an excellent case for reviewing important protocols and procedures that we need to do in the ER. Thanks Ninjas!

[@dougennis8689]

UTI --> sepsis, IV antibiotics, lots of fluids, vasopressors if necessary Love this dude, more like this please 🙏

[@jazmeen04]

No spoilers 😡😡😡😤

[@HenryBriskin]

Could you use trimethoprim for UTIs

[@S-R-H]

I started as a medical transcriptionist in 1995 playing guess the diagnosis. I later became a nurse. Now I work as a nursing paralegal, but I graduate from law school next May. I love this type of video. I’ve reviewed so many cases where the providers miss the most obvious signs.

[@joeamrine7450]

I would love a playlist of videos where you concisely review and speak out loud your thought process of several case studies.. like a 40 minute video where you review 30 cases and just speak out loud so we can get your thought process of what is the diagnosis and why you think what you’re thinking so it’s very high yield and concise

[@sophiadean8284]

I would definitely be interested in this too

[@jaybridget4003]

Great opportunity to learn🥺💃🏽 watching from Zambia🇿🇲

[@sithumiperera5212]

Im a med student too, I was literally messed during history taking and diagnosis of diseases.Even though I studied gallon of diseases, I don't know how to apply it when doing a case history and final diagnosis, thank you soo much for this and being a life saver😘❤, pls keep up the good work, if possible pls do case history reveiws on GIT system🥺🥺, loads of love for u and ur team☺🥰😍❤

[@aczu12345]

As a former CNA, UTI is always my first guess with increased mental confusion. It's common. This was fun.

[@sxirs]

I had a case like this in the ER where 70 yr old female obese brought in from home, pt was mostly bedbound and daughters were caring for her and they report all of a sudden she was non-responsive. The ER attending evaluated her as we did also and he ordered baseline labs and a foley. I did a sternal rub very limited response. Her morbidly obese state interfered with the physical exam. Once we got a foley in her, filled 1 bag and started a 2nd, she regained consciousness and her first question was, "where am I?" The amount of info I learned that day was priceless.

[@marialena9315]

I love you guys so much thank u for everything u do my process of becoming a doc wouldn’t be half as smooth without u people! THANK YOU FROM THE BOTTOM OF MY HEART!

[@drhamadaelbana]

How can i goin this meaating ?

[@cristiep7377]

I used their vids during A&P to help me get through tests, Zach has a great way of explaining things that others don't quite have. I loved my instructors, but Zach just has a way about his lecturing that's top notch.

[@cristiep7377]

@@drhamadaelbana it's already over, the live was 3 hours ago, this is a recording.

[@qadqadfloop7894]

Omg this is exactly what i needed I never even got bored once keep em comeing

[@jonatanpolanco3591]

Will you be uploading all the clinical cases on Yt? Amazing work!👍🏼

[@muhammadtufail3446]

Need More and more cases we need such videos.... Unlimited love from here ❤️❤️❤️

[@mahnoorriazkhan5357]

Great platform to learn. Well done 👏

[@drabdirahmanhalac7923]

Well, actually U are doing great and we need alot of cases like this, We have studied hours and hours for cases, but U made it very simple and short, Am from Somali, Thanks for did it.

[@connorhill9047]

You’ve done it again. I fall in love with your content Ninja Nerd Lectures!!!! I think you’re onto something with these case scenarios! ❤️

[@latifabouabdallah6746]

We really need more of this type of videos. Thank you for helping us. You are just amazing

[@mohammedmerghani4760]

Am following you from sudan Wish you the best 💖

[@sheena_e]

More cases plsss ❤ this helped a lot

[@eliasnshindano2752]

Following you from Zambia🇿🇲😁

[@drabdirahmanibrahin6021]

Wow I really like the way you are helping us thank you.

[@Anna-fu1np]

i love these case study type of videos. thank you for helping so many people

[@kitsand]

Fun case. Thanks for hosting

[@valerie1653]

Love this! Dude, you’re killing it 👍

[@cristiep7377]

Ultrasound on her kidneys to check for stones/blockage in her ureters too.

[@cholwemupwaya3167]

Watching from zambia 🇿🇲

[@mattm6624]

Same here

[@cholwemupwaya3167]

Matt M great!👏🏽

[@user-od5uu7ug2r]

Zach!! What an incredible teacher you are, I enjoyed this so much. Thank you for this

[@deeksharao4282]

Loved this case, v helpful to understand how we should go about diagnosing and treating the patient. Please post more!

[@NinjaNerdOfficial]

We sure will! We will be doing this segment every Wednesday at 1 PM EST on our Discord!

[@JGscienceGaming]

Way to bring it all together with these case studies thank you 😊

[@UsmanKhan-uo7gg]

Need more videos like that!

[@fronf]

Can you compare ADE from Zika, ADE from RSV, ADE from Measels vaccines to the similarities from ADE from Covid vaccines?

[@AET237]

You should make this kind of videos part of your regulars. Loved it

[@vam_6629]

Loved this case study video! I’d love more

[@dietherfernando7882]

More cases. Im a PT STUDENT here and its very helpful to me

[@Drbiking5171]

I really like case discussion Give a time table day and time for case discussion every week And more cases please

[@keithhutchins8803]

I love case studies! More please!

[@drmknizami1174]

Happy doctor's day sir. You are real hero

[@laureny.9781]

I love this type of learning!! Great job!

[@reginablaker7294]

Urine culture, pyelonephritis, UTI, cystitis. Possibly septic w/fever, pubic pain, tachycardia, hypotension. I don’t think it’s SIRS due to localized pelvic pain, color of urine. Pt’s Alzheimer’s dx is also a clue...Alzheimer’s PTs lack hygiene awareness and coupled with the HCTZ could be causing dehydration along with pt. not getting enough fluid intake. P. S. I’m not in Med school or am RN...just an observer and love your videos.

[@Keana43]

I would love more of these

[@dhruvoza1921]

True masterpiece! ❤️

[@user-le6hs4rh7u]

Watching you from Iraq 🇮🇶

[@snoobydo4739]

Thanks alot for this excellent informative case study

[@usmandhange6956]

MORE CASES PLZ !!!!!! I WANNA LEARN THIS PLZ

[@desislavaroleva6286]

Thank you, such case studies are very helpful. Please do more 🤗

[@bharadhwajkr21]

Explanation awesome I need more video like this dude...

[@gelilasamson8842]

Very helpful, Thank you somuch ,please do more😊

[@rp7716]

this was so helpful !! please do more of this type of videos

[@shaikhzoya2002]

Plz upload more of these case presentation

[@schrodingerliee6092]

Need more like this

[@toshibakhanjadoon1389]

❤❤👍👍👍 best channel for medicos .... 'Ve been following you for 3 years ! From Pakistan ✌

[@ammarajamil4603]

More of these cases please!

[@MrLinkinparkrules]

Should appendicitis be in the DDX? No surgical hx, high temp, hypotensive... Edit: LOVE THIS!!!!!

[@93shreelakshmihs]

Learning more in KZbin than med school

[@shangaahmed1991]

This is amazinggg continue doing casessss please

[@infectdiseaseepidemiology2599]

I should add that just knowing the epidemiology of a “shocky” presentation from nursing facilities, esp in women, one has valuable clues about the most probable causes.

[@nadiaelhani9523]

1- initially resuscitation with IV fluids 2- meets SiRs and with pos UA -> severe sepsis 2- severe sepsis in setting of hypotension 3- CBC, Cmp, lactate, trop, procal, CXR, ECG, UA with reflex culture, Cardiac monitor 4-insert foley for I&O 5- if BP better admit to medical floor. If refractory Hypotension admit to IMC/ICU for vasopressors 6- empiric antibiotics while in ED with Zosyn and Vancomycin 7- cultures should have been collected prior to antibiotics administration 8- AMS prompts a dry CT head to rule out stroke.

[@nadismad007]

Loving this case study session

[@67zoylamasood14]

Please also discuss case of DKA

[@darleen6258]

Amazing, perfect. Thank you very much

[@IkramulHasanLV]

Want more videos like this one

[@MohammadGamalXD]

Great inclusiveness 👌

[@caiolaudano1959]

Very good discussion! Nice case!

[@medicalmatters6728]

i learn about from this video, thanks

[@tantheta206]

Case related discussion will be awesome

[@randybrown9151]

My first question is what is her diet. My first question is always what is their diet. Also, when was the last time they were checked for diabetes.

[@sibghatullah383]

watching frm afghanistan very helpful vedio..plz upload more casaes

[@completeandabsolutenerd]

Hi, im a little bit late here. At 31:12, you mention using vasopressin (ADH). Would it really be wise to use ADH in this scenario, when her urine output is already low? Im just not sure if this could worsen her current AKI.

[@wejdanhakami980]

And more cases plz 🌸

[@hammbaby]

that was fun thanks man

[@abdimohamedawil7262]

Very nice Case, its imprassive am very undrstnd ✌️ watching 🇸🇴

[@borderlord]

Wish Dr Zach had been my mother's Dr when I took her to the hospital after she was sick and collapsed at home on the 5th day of a 7 day course of Macrobid for a UTI last December,3 days before Christmas. The Dr said her bloods were clear ,and she was just dehydrated,he put her on a drip and said I could then take her home. She collapsed again the next evening as I was walking her to bed, but this time her poor heart couldnt keep going and she died holding my hand. The paramedics tried to revive her but it was too late. Her GP looked at my mother's A&E report from when she was admitted the day before and she said her white blood cell count was slightly elevated and she was surprised they didnt do a Urine test. She had collapsed a month earlier with the same symptoms a d treated for a chest infection and taken to the same hospital,all on record here in London. I am currently going through the hospital trusts complaint procedure.

[@completeandabsolutenerd]

so sorry for you man. so sorry. i hope your complaint procedure is successful.

[@borderlord]

@@completeandabsolutenerd Thanks. I recently received their reply,but apart from acknowledging they should have measured her blood pressure standing up before discharging her,they gave me the brush off not dealing with my points. I am still considering if I should take it further with No win No fee medical negligence lawyers.

[@unapologetically_me]

This was awesome!!! More please!!!

[@uongsineth3274]

Thank you very much i really love your videos

[@himahosiny8553]

how about talking about USMLE step 1 i really hope to see you in clinical medicine such as ( surgery and internal medicine )

[@ghadderd.3444]

I want to be with you guys in these meetings 🥺😢

[@iliasntontis8815]

Hello Zack! amazing video and very interesting case One thing I would like to highlight...I work as an ED/Intensive care nurse in the UK and in a case of septic shock with no response in fluid resuscitation our first drug of choice is usually metaraminol, an α1 agonist causing vasoconstriction to support the BP Is that a drug used in the US or you normally move straight to noradrenaline if you need pressors? Thanks in advance

[@jazmeen04]

Pleas when do you do this and how can one attend? And please do more. I find that in school we did too much textbook management and not enough actual clinical approach scenarios so we all get confused when we start practicing.

[@NinjaNerdOfficial]

We have our live case study every Wednesday at 1 PM EST! If you miss the case we always have the video available to watch afterwards. Thanks for your interest 😀

[@AKELLOHOPEKETTY-rg8zy]

​@@NinjaNerdOfficial I actually bummed into the discussion just today, kindly inquiring if it's still available. Am from Gulu University Medical School, Uganda, East Africa

[@doranicotra6279]

Love your videos

[@jessicatucciarone4951]

Thank you so much for starting this series

[@pluto4479]

Thank you for this. We need more case❤

[@infectdiseaseepidemiology2599]

In this setting, might want to emphasize importance of wide bore cannulation-preferably 2

[@wejdanhakami980]

Please can u explain mechanical ventilation plzzz And Truma plz

[@75sauphrnikaprakash7]

Why shouldn't we send for urine culture if folleys is in? Like how would that affect the results?

[@sohrabahmadi9916]

Amazing video!!😁 Zach, why the chest x-ray tho? I didn’t understand why she needed to make an chest x-ray and for which diagnosis given that her pulmonary pe was normal.

[@ARCH4NG3L_]

Amazing work keep it up

[@krinita18]

More cases for cardiovascular disease plz!!!! Love it 😍

[@vijaynegi6164]

Very informative 🔥

[@kciao5654]

More of this pls ❤️💕

[@cristiep7377]

Zach, c-diff isn't a consideration with those meds? I'm just learning through experience about c-diff, I'm not fully certain which meds cause it, I know Augmentin is a big culprit (happened to me 2x from that med).

[@NinjaNerdOfficial]

C diff is pretty common with antibiotic use in general, some more than others. Also patient didn’t have any diarrhea or constipation. However, always keep c diff in the differential when a person has a super high white count with recent Abx or immunosuppressive condition with an unexplained source of infection.

[@SimplyShaiRN]

I loved this !!!!!!

[@rachend810]

super cool!

[@salhiromaissa6983]

thank you

[@reginablaker7294]

Possible cause could be Citrobacter Koseri...symptoms are in line with this species of bacteria.

[@josephineokili1347]

This doctor is really amazing, I got rid of genital herpes within 3weeks of using this herbal medication, if you're trying to get rid of disease, infections or any type of STDs? Do not hesitate to visit DR AZAKA CURE REMEDIES on KZbin

[@indikabandaramudiyanselage7774]

Can I buy or attend the case study discussion if I get a membership please

[@Zetsuke4]

I like these

[@dr.ohuruc.1511]

Please do a sepsis topic for us 😭😭

[@juanbacisneros]

How could one participate on one of this in the future?

[@NinjaNerdOfficial]

Link below to join our Discord 😀

[@dominicanprinzezz]

Pls pls pls more case studies