1
Q
A
Cystitis (bladder)
Prostatitis (prostate)
Urethritis (urethra)
2
Q
A
Pyelonephritis (renal pelvis)
3
Q
A
> 10^5 colony forming bacteria /mL fresh urine
4
Q
A
abnormal renal/GU tract voiding difficulty/obstruction reduced renal function immunocompromised virulent organism involved
5
Q
A
normal renal/GU tract
normal function
6
Q
A
Spermicide (on diaphragm/in condoms)
7
Q
A
Females - shorter and more exposed GU tract
8
Q
A
Pregnancy
Menopause
9
Q
A
Stones/obstruction
Anatomical malformation
catheter (almost always = infection)
10
Q
A
Escherichia Coli
11
Q
A
e.coli
Proteus Mirabilis
Klebsiella Pneumonia
Staph. Saprophyticus
12
Q
A
Proteus Mirabilis
Klebsiella Pneumonia
Staphlococcus Saprophyticus
13
Q
A
loin pain
14
Q
A
fevers
rigors
15
Q
A
loin pain/tenderness
fevers
rigors
16
Q
A
suprapubic pain
17
Q
A
urinary: urgency dysuria frequency haematuria
18
Q
A
Low backache
19
Q
A
flu like
20
Q
A
enlarged/tender prostate
21
Q
A
Symptoms
+
Nitrites/leukocytes in urine
22
Q
A
MSU for MC&S
23
Q
A
20
24
Q
A
> 20WBC/mm^3
no organisms grown
25
[UTI]: Sterile pyuria's highest priority ∆∆ is
TB
26
[UTI]: Name causes of sterile pyuria (8)
```
Partially treated UTI
fastidious culture requirement
Bladder Ca.
Polycystic kidney
Tubulointerstitial nephritis
Papillary necrosis
Caliculi
Appendicitis
```
27
[UTI]: what can cause papiillary necrosis leading to sterile pyuria (2)
analgesic excess
| DM
28
[UTI]: what dietary advice can you give to help UTI incidence (3)
Cranberry
Lingo berry juice
Drink more water
29
[UTI]: Tx: how can you prevent UTI in frequent recurrence
antibiotic prophylaxis post-coital/as soon as symptoms start
30
[UTI]: genitourinary TB: What would give you a high index of suspicion (3)
sterile pyuria
ESR/CRP raised
HIV+
31
[UTI]: genitourinary TB: are mycobacteria frequently present?
No (38%)
32
[UTI]: Mx: 1st line empirical: non-pregnant lower UTI.
Trimethoprim 200mg/12h PO
or
Nitrofurantroin 50mg/6h PO
33
[UTI]: Mx: 1st line empirical: pregnant lower UTI .
Cefalexin
| 500 SBAs
34
[UTI]: Mx: 1st line empirical: men UTI
Trimethoprim 200mg/12h PO
or
Nitrofurantroin 50mg/6h PO
Get help if unresponsive
35
[UTI]: Mx: 1st line empirical: non-pregnant upper UTI
co-amoxiclav 1.2g/8h IV
RENAL
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