Flashcards in upper urinary tract infection Deck (20)
When does acute pyelonephritis occur ?
Acute pyelonephritis occurs when there is exudate purulent inflammation of the renal pelvis. This can occur with or without the renal parenchyma
What may acute pyelonephritis be ?
ascending or haematogenous
What are the complications that may occur as a result of acute pyelonephritis ?
SAP: sepsis, Abscess, papillary necrosis and preterm labour in pregnancy
What does chronic pyelonephritis occur due to ?
CP occurs due to recurrent infections which lead to scarring and progressive renal impairment
What are the 2 types of chronic pyelonephritis and state what they they are due to ?
Reflux associated CP: Due to Vesico-ureteric reflex
Obstructive CP: due to stones
What are the complications of chronic pyelonephritis?
chronic renal failure and end stage renal disease (ESRD)
What are the four symptoms of a UTI ? 😭
1. frequency, urgency, nocturia 2. dysuria, 3. Haematuria and 4. suprabupic pain
What are the four symptoms of an UUTI ?
1. loin/flank pain, 2.Fever, rigors and shaking, 3. Vomiting and 4. oliguria if AKI
What are the 4 symptoms of prostatitis ?
1. flu-like symptoms, 2. back pain, 3. swollen and tender penis and 4. fewer urinary symptoms
How may older patients with a urinary tract infection present ?
confusion and incontinence
How may younger patients present ?
poor feeding, fever and failure to thrive
What are the 3 signs of a UTI ?
foul-smelling urine, vaginal discharge if female and enlarged prostate(males/bladder
What are the factors that predispose to a UTI ?
BBCS Very Shit: 1. Being female and pregnancy/menopause, 2. Bladder outlet obstruction (TCC and BPH), 3. Catheterization, 4.Stones and spermicide birth control, 5. vesicoureteric reflex and 6.STIs/STDs
State one condition the can predispose an individual to a UTI
State the common pathogens that cause a UTI infection 😭
KEEPs and TB
klebsiella, E.coli, Epidermidis, Pseudomonas, proteus and streptococcus and TB
What 2 urine tests would you do ? 😭
urine dipstick MSU and culture
What 6 blood tests would you do ? 😭
blood culture, FBC, U and Es, CRP, ESR and LACTATE
State the 3 basic imaging you would do ? 😭
USS, IVU and AXR; kidney stones
What 2 things are common in patients with renal tuberculosis ?
Sterile pyuria (high WCC despite no infection and post TB infection