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GU > General UTI* > Flashcards

General UTI* Flashcards

1
Q

Where does pyelonephritis occur

A

Upper kidney

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2
Q

What UTI occurs at the lower kidney

A

Cystitis
Prostatitis
Urethritis
Epididymo-Orchitis

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3
Q

How does prostatitis present

A

Perianal pain during orgasm

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4
Q

What are the common causatives of UTI (KEEPS)

A 
Klebsiella
Enterobacter
E Coli
Proteus
S Sapro
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5
Q

What is the most common causative organism of UTI

A

UPEC (Uropathogenic E Coli)

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6
Q

Why are females more affected than males in UTI

A

Females have shorter urethra so its easier for bacteria to colonise form the anus

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7
Q

How are all UTIs Diagnosed

A 
1st = Urine dipstick
Gold = Midstream MC+S
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8
Q

What are the results of a positive Urine dipstick for UTI

A

Leukocytes
Nitrites
Haematuria sometimes

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9
Q

Why is a urine dipstick positive for nitrites

A

Bacteria breaks nitrates into nitrites

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10
Q

What is Pyelonephritis

A

Upper ureter and Renal parenchymal infection typically caused by UPEC

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11
Q

What are the RF for Pyelonephritis

A

Urine stones
Renal structure change
Catheters

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12
Q

How does a patient with PN present

A

Loin pain w/ fever and pyuria

N+V

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13
Q

What is Pyuria

A

Pus in urine

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14
Q

How is PN Treated

A

Abx = Ciprofloxacin/ Co Amoxiclav

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15
Q

How is a pregnant PN patient treated if they can’t have Ciprofloxacin or Co Amoxiclav

A

Cefalexin

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16
Q

What is Cystitis

A

UPEC infection of the bladder

17
Q

What are the RF for Cystitis

A

Urine stones
Bladder lining damaged
Catheters

18
Q

How does a patent w/ Cystitis present

A

Suprapubic tenderness
Storage Sx - Frequency and Urgency
Haematuria

19
Q

How is Cystitis treated

A

Trimethoprim/Nitrofurontoin

CI = Amoxicillin

20
Q

How is a pregnant cystitis patient treated

A

Amoxicillin

21
Q

What is Urethritis

A

Urethral Inflammation (+/Infection) typically sexually acquired

22
Q

What are the two infective causatives of Urethritis

A 
N Gonorrhea (Negative Diplococcus)
Chlamydia Trochamatis (Negative Bacillus)
23
Q

what are the RF for Urethritis

A

Unprotected sex

Male-Male

24
Q

How does a patient with urethritis present

A

Dysuria
Discharge
Uretrhal pain

25
Q

What are the investigations for STI as cause of urethritis

A

NAAT

-Nucleic acid amplification

26
Q

How is Gonorrohea treated

A

IM Ceftriaxone and Azithromycin

27
Q

How is Chlamydia treated

A

Azithromycin

28
Q

In what disease does urethritis play a part in a triad of presentations

A

Reactive arthritis

  • Cant See
  • Cant Pee
  • Cant Climb a tree
29
Q

What is Epididymo Orchitis

A

Inflammation of epididymus extending to the testes typically as a result of Urethritis/Cystitis

30
Q

How does a patient w/ EO present

A

Unilateral scrotal pain/swelling
Pain relief w/ lifting testis
Creamasteric Reflex remains

31
Q

What differential of EO presents with Pain persisting when elevating testis and loss of cremasteric reflex

A

Testicular Torsion due to Bell Clapper deformity

32
Q

How is EO Investigated

A

NAAT (Rule out STI)

Urine Dip and Midstream MCS

33
Q

How is Gonorrhea causing EO treated

A

Cetriaxone and azithromycin

34
Q

How is Chlamydia causing EO treated

A

Azithromycin

35
Q

How is UPEC causing EO Treated

A

Trimethoprim/ Nitrofurontoin

36
Q

How is KEEPS causing EO treated

A

Ciprofloxacin or Co Amoxiclav

GU (10 decks)

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