**Core Concept:** Urinary tract infections (UTIs) are a group of infections that affect any part of the urinary system, including the kidneys, ureters, bladder, and urethra. Gross hematuria, or visible blood in the urine, can be a symptom of a UTI.
**Why the Correct Answer is Right:** The correct answer is option D, Urinary Tract Infection (UTI). In this scenario, the patient develops gross hematuria 3 days after an attack of UTI. Gross hematuria is a symptom of a UTI because the infection causes inflammation and damage to the urinary tract tissues, leading to bleeding.
**Why Each Wrong Option is Incorrect:**
A. Kidney stones (renal calculi): Although kidney stones can cause hematuria, they typically present with flank pain, chills, and fever, which are not mentioned in the question.
B. Prostatic enlargement (benign prostatic hyperplasia): Gross hematuria in a male patient due to prostatic enlargement usually presents with obstructive symptoms like frequency, urgency, and nocturia rather than hematuria presenting 3 days post-infection.
C. Chronic kidney disease: Hematuria in chronic kidney disease is usually due to glomerular filtration failure rather than an acute infection-induced inflammation.
D. Urinary Tract Infection (UTI): As explained earlier, UTIs can cause hematuria due to the inflammation and tissue damage in the urinary tract. In this case, hematuria presents 3 days post-infection.
**Clinical Pearl:** A timely diagnosis and treatment of UTI can prevent complications and reduce morbidity. Prompt utilization of appropriate antibiotics can lead to successful management and recovery of the patient.
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
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