Flashcards in Urological/STD/Men and Women's Health Deck (57)
Most common UTI bacteria
e. coli, p mirabilis, k pneumoniae, enterobacter, s. saprophyticus
Midstream bacterial count for UTI
Nitrites indicate what type of bacteria in sample?
Usually gram - nitrate producers
most common, low urine flow, dehydration, vigorous exercise
Type of cast - crystals
No clinical significance
Type of cast - RBC
Always pathological, consider glomeruloneephritis, urinary tract injury
Type of cast - WBC
Consider inflammation or infection such as pyelonephritis. Not a UTI
Type of cast - epithelial
Acute tubular necrosis (poisoinng), hepatitis
How long tx an uncomplicated UTI
What should you always do before tx pylonephritis?
Get a culture
Kegal exercises - How many?
3 sets of 8-12 3-4 times weekly for 15-20 weeks
Hallmark finding on urolithiasis (stone formation)
Severe pain waxes and wanes, may radiate to groin, testicles, suprapubic area, and labia
What is the gold standard for dx of urolithiasis?
Establish dx with EIA or ELISA, confirmed with Western Blot
What live vaccines should you never give with HIV?
shingles, chicken pox, MMR
Lab testing with HIV
CD4 counts and viral load at dx and every 3-4 months, screen for Hep A, B, C. Glucose and lipid panel, STD assessment
When is HIV considered AIDS?
CD4 count less than 200
Polymicrobial clinical syndrome resulting from replacement of natural flora with high concentrations of anaerobic bacteria
Hallmark sx of bacterial vaginosis?
Profuse grayish-white malodorous vaginal discharge
Gold standard for dx of bacterial vaginosis
gram stain absence or decreased lactobacilli
Treatment of bacterial vaginosis
metronidazole 500mg BID 7 days
Chlamydia associated with
PID, infertility, ectopic pregnancy
What age is Chlamydia most common in?
under 25 years old
often asymptomatic, mucopurulent cervicitis, friable cervix with pain on movement
What is important to do with dx of Chlamydia?
Retest in 3 months
Dx studies Chlamydia
NAAT with urine or vaginal swabs, DNA probe, culture
Doxycycline 100mg BID 7 days OR azithromycin 1 gram once
Gonorrhea sx in males
purulent urethral discharge, dysuria, testicular pain, or no symptoms
Gonorrhea sx in females
Often asymptomatic, endocervical discharge, dysuria, bartholins gland abcess