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The Case
A 51-year-old woman is seen because of burning at the site of entry of a urethral (Foley) catheter. The catheter had been placed perioperatively for a cholecystectomy. No history of genitourinary difficulty or trauma to the area. A urine culture that revealed Escherichia coli led to a diagnosis of urinary tract infection (UTI), but the relationship between this infection and the physical finding was unclear.
More History/Physical
Lucid woman who has no signs of acute discomfort. Temperature, 37.6°C (99.7°F). Lungs clear. Suprapubic area non-tender and non-distended. No costovertebral angle tenderness. External genitalia as shown.
What's Your Diagnosis?
• Adenocarcinoma
• Small-cell lymphoma
• Squamous cell carcinoma
• Urethral caruncle
(Answer on next page.)
