Genitourinary Flashcards
(20 cards)
Norma flora - gu
sterile
acute cystitis
Et: E. coli
Hx: freq, urgency, hematuria
Test: urinalysis, culture
Tx: Nitrofurantoin, TMP-SMX, Cipro
Pyelonephritis
Et: E. Coli
PE: CVA tenderness
Tx: Cipro
Prostatitis
Et: 35 - E. Coli *categories Hx: malaise, F/C, abd/rectal/pelvic pn, freq, urgency, nocturia PE: tender, warm, swollen, irregular Tx: Quinolone; TMP-SMX
Epididymitis
Et: 35 - E. Coli
Urethritis
Et: Neisseria gonorrheae; chlamydia trachomatis
Balantitis
inflammation of glans pns & foreskin
Et: candida; Group B Strep
Orchitis
Et: Viral - mumps
Bacterial - 35 - E. Coli
Tx: abx
Normal flora - male reproductive
sterile
normal flora - female reproductive
Lactobacilli, Group B strep, E. Coli, Staph epidermidis
Pelvic Inflammatory Disease
Hx: low abd/pelvic pn, purulent vaginal discharge, hematuria, dysuria
Pe: cervical motion tenderness
Tx: abx
Uteritis
Neisseria gonorrhoeae
Chlamydia
Bacteroides
Cervicitis
Chlamydia
Gonorrhea
HSV
Trichomonas
Vaginitis
Trichomonas Vaginalis
Candidiasis
Et: candida albicans
*risk factors: abx; corticosteroids; OCP; concomitant diseases
Hx: thick, odorless discharge, red, inflammed
Pe: diaper rash, vulvovaginal candidiasis
Tx: abx
Abscess and Mastitis
Et: Staph Aureus; milk stasis in lactation
Hx: malaise, pn, fever
Tx: milk removal; NSAIDs
If cellulitis: I&D, abx
Neisseria Gonorrhoeae
M: dysuria, purulent discharge, freq
F: asymptomatic or same
Chlamydia trachomatis
M: asymptomatic, dysuria, white/clear discharge, epididymitis
F: asymptomatic, postcital bleeding
Herpes simplex virus 2
genital herpes
Tx: acyclovir
Trichomonas Vaginalis
Trophozoite parasite M: nongonococcal urethritis F: copious foul discharge Dx: motile organisms in wet mount Tx: metronidazole
