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Flashcards in Urinary Tract infections Deck (12):
1

How much post void residual is normal?

50ccs left in bladder
Look by US

2

What are the common bloodborne UTI microbes?

TB
G- Sepsis

3

WHat are the risk factors for UTI?

Prior History
Reflux
Uncircumcised
Sexual intercourse, esp frequency
Inherited factors
Obstruction(prostate/stones)

4

What is symptomatic vs Asymptomatic UTI?

Symp: >10^5 CFU single species
E. coli 80%, Staph Saprophiticus 15%
Asymp: >10^5 CFU ss
Treat in preggo, renal transplant, b4 uro surgery
Nursing home
Don't treat/check with foley in place

5

What is clean catch?

Void a bit, toss it. then collect.
discard 1st 15-20ccs in a Cath sample

6

What can tell you that you have a possibly contaimnated urine specimen?

High White count/Epithelial cell ratio(= means contaminated)

7

What are the most commnly used UA metrics in diagnosing a UTI

pH
Specific Gravity (1.010 is normal
Nitrites
Leukocyte Esterase
WBC
RBC

8

WHat is the difference in the findings between the 1st and 2nd catch UA? (split urine)

1st: Tells you environment of the Urethra
2nd: Environment of the Bladder

9

What is the Empiric Tx of a UTI (G- or Chlamidia)?

Ceftriaxone, Azithromycin

10

What is seen in UA if theres a bacteria with urease?

pH higher than 6.0

11

WHat does a lactate level tell you?

Systemic tissue perfusion. Hypoperfusion increases Lactate level

12

What is charicterisitic of Pyelonephritis?

Upper tract infection
Tissue infection instead of space
Flank pain, fever
UA findings similar to cystitis
AVOID a Foley with Pyelonephritis
If obstructed with a stone it becomes an abcess!