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Image Challenge Q: What underlying disease is most likely to have been present in this patient? 1. Atrial fibrillation 2. Chronic constipation 3. Chronic.

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Presentation on theme: "Image Challenge Q: What underlying disease is most likely to have been present in this patient? 1. Atrial fibrillation 2. Chronic constipation 3. Chronic."— Presentation transcript:

1 Image Challenge Q: What underlying disease is most likely to have been present in this patient? 1. Atrial fibrillation 2. Chronic constipation 3. Chronic renal insufficiency 4. Diabetes mellitus 5. Thalassemia

2 Image Challenge Q: What underlying disease is most likely to have been present in this patient? Answer: Diabetes mellitus The abdominal radiograph shows air throughout the urinary tract. Patients with diabetes mellitus have a particular predisposition for complicated urinary tract infections such as emphysematous cystitis, which is thought to be caused by fermentation of glucose by bacterial and fungal pathogens.


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