**Question:** Pruritis is seen in all except

A. Urinary tract infection
B. Acute pancreatitis
C. Acute myocardial infarction
D. Acute glomerulonephritis

**Correct Answer:** None of the above

**Core Concept:** Pruritis, also known as itching, is a sensation that triggers an urge to scratch. It is a common symptom experienced by patients due to various underlying causes.

**Why the Correct Answer is Right:** The correct answer, "None of the above," is chosen because each of the options listed has specific pathological conditions associated with them, which are not directly related to pruritis.

A. Urinary tract infection (UTI) typically presents with symptoms such as dysuria, frequency, urgency, and urinary pain, not pruritis.
B. Acute pancreatitis is characterized by abdominal pain, nausea, vomiting, and systemic symptoms like fever, not pruritis.
C. Acute myocardial infarction (heart attack) presents with chest pain, shortness of breath, and cardiovascular symptoms, not pruritis.
D. Acute glomerulonephritis is associated with flank pain, hematuria, and systemic symptoms like hypertension, not pruritis.

**Why Each Wrong Option is Incorrect:**

A. UTI and acute pancreatitis are conditions with distinct symptoms that do not involve pruritis directly. Pruritis may be a secondary symptom due to pain, but it is not the primary presenting symptom for these conditions.

B. Acute myocardial infarction (heart attack) presents with different symptoms (chest pain, shortness of breath, etc.) that are not associated with pruritis. Pruritis is not a direct presentation of myocardial infarction.

C. Acute glomerulonephritis has a different set of symptoms (flank pain, hematuria, systemic symptoms) that are not directly related to pruritis. Pruritis is not a common symptom in acute glomerulonephritis.

**Clinical Pearl:** It is essential to consider the primary symptoms of each disease when assessing a patient's complaints. Pruritis may be a secondary symptom due to various primary conditions, but it is not the primary presentation of these diseases. In proper clinical practice, it is crucial to consider the underlying cause of pruritis before diagnosing pruritis as the primary symptom.