FN: UTI Flashcards Preview

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Flashcards in FN: UTI Deck (16):
1

Classification

1. Uncomplicated
2. Complicated
3. Recurrent
4. Relapse

2

Uncomplicated

Normal GU tract and function

3

Complicated

Abnormal GU tract, outflow obstruction, reduced renal function, impaired host defence, virulent organism

4

Recurrent

Further infection with new organism

5

Relapse

Further infection with same organisms

6

Presentation of pyelonephritis

Fever, rigors
Loin pain and tenderness
Vomiting
Oliguria if ARF

7

Cystitis

Freqeuncy and urgency
Polyuria
Haematuria
dysuria
Suprapubic tenderness
Foul smelling urine

8

Prostatitis

flu-like symptoms
Low backach
dysuria
Tender swollen rostate on PR

9

Sterile Pyuria

TB
Treated UTI
Appendicitis
Calculi
TIN
Papillary necrosis
Polycytis kidney
Chemical cystitis (e.g. cyclophosphamide)

10

Risk factors

Female
Sex
Pregnancy
Menopause
DM
Abnorma tract: stone, obstruction, catheter, malformation

11

Organisms

E. coli
Staphylococcus, saprophyticus
Proteus (alkaline urine - struvile renal stones)
Klebsiella

12

Investigation

Dipstick
MSU for MCS
Bloods: FBC, U+E, blood cultures (if systemic signs)
US: children, men, recurrence,, pyelonephritis

13

Treatment generally

Drink plenty, urinarte often

14

Cystitis Rx

3-6days
Trimethoprim 200mg BD
Nitrofurantoin 50mg QDS (not in RF)
Cefalexin 500mg BD (good in RF)
Co-amoxiclav 635mg TDS

15

Pyelonephritis

Cefotaxime 1g IV BD for 10d
No response: augmentin 1.2g IV TDS + gentamicin

16

Prevention

Drink more
Abx prophylaxis
? cranberry juice

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