Chronic UTI / Kidney Flashcards
Chronic UTI in post-menopause treatment
Vaginal estrogen
Chronic UTI in young female treatment
Consider postcoital antibiotics if sexually active
Consider self-administered antibiotics if there is a regular pattern
Recurrent UTI
UTIs that occur after a previous UTI despite appropriate treatment
Chronic may be considered 3 in one year, or two within 6 months
Relapse UTI v. Reinfection UTI
Relapse = UTI with same organism because it was not eliminated, usually occurs 2-4 weeks later Reinfection = UTI with different organism from previous UTI
Recurrent UTI Risks
Symptoms following intercourse (biggest risk group)
signs of pyelonephritis
Quick resolution with antibiotics
Risk of complicated UTIs
Recurrent UTI Treatment
Treat as uncomplicated UTI usually (Nitrofuratin, Fosfomycin, etc.)
Initiate prevention treatments
Antibiotic prophylaxis
Duration depends on symptom severity, 6 months - 12 months usual
Cephalexin 125mg daily (250mg for postcoital)
Ciprofloxacin 125mg daily (good for postcoital)
Nitrofurantonin 50-100mg daily
A 22-year-old recently married female has been having recurrent UTIs. What is the appropriate treatment for this patient?
Daily antibiotics for two years
Postcoital antibiotics
Vaginal estrogen
Self-administered antibiotic therapy
Postcoital antibiotics are effective in women that have intercourse related recurrent UTIs.
Which tests should be monitored regularly to monitor for complications of chronic renal disease (CRD)? (Choose three.)
Serum glucose
Vitamin D levels
Parathyroid hormone levels
Serum lipids
Liver enzymes
CRD can cause hyperparathyroidism, hyperlipidemia, and alterations in vitamin D, calcium, and phosphorus metabolism, so these should be monitored.
What is a risk factor for the development of bladder cancer?
Past history of cigarette smoking
History of abdominal ultrasonography
Daily consumption of cola drinks
Work history in spa maintenance
Smoking, industrial exposure in metal work, painting, mining, and increased age are all risk factors for developing bladder cancer.
A patient reports right-sided flank pain and hematuria and the primary care provider palpates a renal mass on the affected side.
What is the probable treatment for this patient’s condition?
This patient has the classic triad of symptoms for renal cell carcinoma (RCC), which usually do not present until metastasis has occurred, with poor prognosis for survival. Palliative radiotherapy is often used to treat metastatic lesions.
