Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

MACS > UTI > Flashcards

UTI Flashcards

1
Q

Causes of UTI - bacterial

A

E.coli
P.mirabilis
Klebsiella spp
Enterococci
Enterobacter
S.saprophyticus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Clinical features of UTI

A

Urinary frequency
Dysuria
Haematuria
Foul smell/cloudy urine
Urgency/incontinrnvr
Suprapubic pain and tenderness
Loin/flank pain
Rigors
Pyrecia
Nausea + V
Acute confusional state - deliruim - elderly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Risk factors UTI

A

Female - pregnancy
Increasing age
Catheter
Abnormal urethra
Incomplete bladder emptying
Sexual activity/new partner
Use of spermicide
Diabetes
INsititutionalsied
Immunocompromised/suppressed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Complications of UTI

A

Pyelonephritis
Perinephric and intrarenal abscess
Hydronephrosis, pyonephrosis
Aki
sepsis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Why are women more likely to get UTI

A

Shorter urethra thats closer to anus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How does vaginal oestrgoen therapy in menopausal women affect likelihood of UTI?

A

Protective against UTIs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

First line treatment for lower UTI

A

Nitrofurantoin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are red flags in UTI for sepsis potential

A

Haematuria
Loin pain
Rigors
Nausea
Vomitting
Altered mental state

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

When is a UTI likely from a urine dipstick result? in a woman

A

Positive for nitrites or
leukocytes and RBCs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

When do yuo send urine for further testing in UTI for a woman (results of dipstick only)

A

If nitrites AND leukocytes, send for further testing - equally likely something else

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Which women should you always send urine sample for urine culture in when suspect lower UTI?

A

Pregnancy
>65
Persistent sympotms not resolving on antibiotics
Recurrent UTI
Catheter in situ or refvent
Risk factors for resistance or complicated UTI
Atypical symptoms
Haematurie - visible or non

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Risk factors for resistance or complciated UTI

A

abnormalities of genitourinary tract, renal impairment, residence in a long term care facility, hospitalisation for more than 7 days in the last 6 months, recent travel to a country with increased resistance or previous resistant UTI.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Management of lower UTI

A

Nitrofurantoin 100mg modieied release twice a day for 3 dyas
Simple analgesia
Fluids - dehydration avoid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

When do you not give nitrofurantoin in lower UTI?

A

If eGFR <45

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What give when eGFR under 45 in lower UTI

A

Trimethoprin 200mg twice a day for 3 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

2nd line - no improvement in symptoms for 48 hours on 1st line UTI

A

Swap from tri to Nitrofurantoin
Pivemcillinam 400mg initial dose then 200mg 3 x a dya for 3 days
Fofomycin 3g single dose

17
Q

What suspect with haematuria

A

Pyelonephritits
Urological cancer
Gynaecological cancer
CKD

18
Q

Management of recurrent UTI

A

Advice on hygeine etc
Consider prophylactic antibiotic

19
Q

When can you offer amoxicillin in UTI

A

if culutre has returned and bacteria is sensitive
2nd line in pregnant women, 3rd in non pregnant catheterised

MACS (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions