INFECTIOUS DISEASE: GI and Urinary diseases Flashcards Preview

Year 3 Medicine Block > INFECTIOUS DISEASE: GI and Urinary diseases > Flashcards

Flashcards in INFECTIOUS DISEASE: GI and Urinary diseases Deck (14)
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1
Q

What DDx could a patient traveller coming form aboard have if they describe Diarrhoea?

A
  • Giardia
  • Ameobiasis
  • typhoid / para typhoid
  • schistomiasis
  • tapeworm
2
Q

Definition of cystitis?

A

UTI that affects the bladder

3
Q

Cause of cystitis?

A

Eschericha coli - from colon –> transurethral movement into the bladder.

4
Q

Clinical features of cystitis?

A

Urinary frequency

Dysuria

Urgency

Foul smelling urine

Suprapubic pain

Suprapubic tenderness on palpation of region

5
Q

Ddx to cystitis?

A

Pyelonephritis

6
Q

Investigations for cystitis?

A

Urine dipstick - positive for leucocytes and nitrites

MSSU (especially in men, children and pregnant women) - to culture and treat accordingly

7
Q

Management of cystitis?

A

Oral nitrofurantoin or trimethoprim

Conservative measures to reduce risk of further infections - regular fluid intake, post-coital voiding.

8
Q

Definition of pyelonephritis?

A

UTI affecting kidneys / renal pelvis

9
Q

Cause of pyelonephritis?

A

Escherichia coli - from colon transurethrally to kidney

10
Q

Clincal features of pyelonephritis?

A

Fever/ rigors

Malaise

Loin/flank pain

Vomiting

Clinical exam = fever, loin and or flank tenderness

11
Q

Differentials for pyelonephritis?

A

Cystitis - (but pts rarely have flank/loin tenderness or be pyrexial )

Lower UTI

Men - acute prostatis

Acute abdo condition - if have N&V

Women - PID, gynae conditions

12
Q

Investigations for pyelonephritis?

A

Urine dip - positve for leucocytes and nitrites

FBC - raised WCC

U+Es - renal impairment

Blood cultures

Urine MSSU - for MC&S

Renal USS - for hydronephrosis of kidney with severe infection

13
Q

Management for pyelonephritis?

A

Admit

IV abx - broad spec cephalosporin/quinolone/gentamicin

IV fluids if dehydrated

14
Q

C.diff abc?

A

first-line therapy is oral vancomycin for 10 days
second-line therapy: oral fidaxomicin
third-line therapy/ life threatening: oral vancomycin +/- IV metronidazoleoral Metronidazole or vancomycin

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