Dysuria

Question 1

26 YO Female w/ painful urination X2 Days. Urine dipstick (+) Nitrites + WBC activity.

Answer 1

Acute Bacterial Cystitis

Question 2

42 YO Male painful urination X1 week; Urine culture + E. Coli;

Answer 2

Acute Prostatitis

Question 3

32 YO Male pain w/ Urination X2 weeks; URinalysis (+) for Leuk esterase, blood, WBCsm + WBC casts

Answer 3

Acute Pyelonephritis

Question 4

28 YO female burning when I pee X1 week; Nucleic Acid Amplification Test (NAAT) test Positive

Answer 4

Chlamydia Trachomatis

Question 5

31-YO female burning with urination X3 days; Wet mount showing budding + hyphae

Answer 5

Candida Vulvovaginitis

Question 6

Acute Prostatitis

• S/S
• A/S

Answer 6

• S/S: Dysuria, frequency, urgency, urinary retention, low back pain or deep pelvic pain, fever, chills, or malaise,
• A/S: Benign prostatic hypertrophy, transurethral manipulation

Question 7

Pyelonephritis

• S/S:
• A/S:
• CT

Answer 7

• S/S: Nausea, vomiting, fever, chills, flank pain, +/-hematuria, +/-dysuria/urgency/frequency.
• A/S: Vesicoureteral reflux, indwelling catheter, urinary tract obstruction, pregnancy.
• CT: “striated parenchymal enhancement”.

Question 8

Most common STI in the US

A/S Syndromes

Answer 8

• Chlamydia

- Reiters syndrome, Fitz-Hugh Curtis syndrome

Question 9

“Fitz-Hugh-Curtis Syndrome”

Answer 9

• “Violin string” adhesions of the peritoneum to the liver

- infection of the liver capsule

Question 10

Reiter’s Syndrome-

Answer 10

• Reactive Arthritis: (can’t see, can’t pee, can’t climb a tree: conjunctivitis, urethritis, arthritis)

Question 11

Candida Vulvovaginitis

• S/S:
• A/S

Answer 11

• S/S: Vaginal itching and dysuria, clumpy white vaginal discharge without odor.
• A/S: Recent oral antibiotic use, Diabetes Mellitus, Immunosuppression, increased estrogen levels

Question 12

UTI Common ABx

Answer 12

• TMP-SMX
• Cipro
• Nitrofurantoin (Preg UTI)
• Cephtriaxone (Preg Pyelo)
• Azithromycin (Chlam)
• Clotrimazole/Fluconazole (Candida)

Question 13

Fever w/ urinary s/s indicates

Answer 13

Prostitis Or Pyelonephritis

Question 14

Flank pain + tenderness on costovertebral angle indicates…

Answer 14

Pyelonephritis

Question 15

Nitrates on lab indicate

Answer 15

UTI OR Pyelo

Question 16

WBC Casts in UA indicate

Answer 16

Pyelo

Question 17

WBS on Wet mount indicate

Answer 17

Urethritis