UTI

Question 1

frequency, urgency & dysuria(Cystitis) + urethral discharge

Dx? Tx?

Answer 1

Urethritis! = prob due to Gon/Chla so treat for both!

Tx: Ceftriaxone 125 IM x1 & Doxy 100 x7d or Azith 250 1x

Question 2

Treatment for Gon? Chla?

Answer 2

Gon = Ceftriaxone 125 IM x1
Chla = Doxy 100 x7d or Azith 250 x1

Question 3

Tx for Asymptomatic bacturia

Answer 3

NO! you dont treat this unless prego! in which case u treat w/ Nitrofuratoin(macrobid) or Amox

Question 4

Frequency, Urgency, Dysuria dx? tx?

Answer 4

Cystitis

Tx: TMP-SMX(Bactrim), Nitrofuratoin(macrobid) or foxfomycin

Question 5

Cystitis + CVA tenderness, fever, WBC casts Dx? Tx?

Answer 5

Pyelonephritis

Tx: IV Cef or Iv Amp-sulbact or PO cipro