Dyuria Flashcards
What are the typical symptoms of acute simple cystitis
Dysuria
Urinary frequency
Urinary urgency
Suprapubic pain
*There are no signs or symptoms that suggest an upper tract or systemic infection
What is the most common Cause of Dysuria
Urinary tract infection (UTI)
Why do older men experience dysuria more frequently?
Because of increased incidence of prostatic hyperplasia, inflammation, and infection.
Name three possible causes of dysuria besides UTIs
Sexually transmitted infections (STIs), interstitial cystitis, and urethritis
What are common diagnostic tests for dysuria?
Urinalysis, urine culture, STI screening, and imaging (if needed).
What makes a UTI “complicated”?
Presence of structural abnormalities, pregnancy, or immunosuppression, functional abnormality of urinary tract, HAI, external catheters
What is the first-line treatment for uncomplicated bacterial UTI?
Antibiotics such as nitrofurantoin BD x5days or trimethoprim-sulfamethoxazole BD x3days
augmentin TDS 5-7days
(Fosfomycin has increasing resistance)
What supportive measures can help relieve dysuria?
Increased fluid intake, urinary analgesics, and proper hygiene practices.
What are the symptoms of pyelonephritis (acute complicated UTI)?
Acute UTI accompanied by features that suggest extension beyond the bladder:
Fever (>99.9°F/37.7°C)¶
Chills, rigors, significant fatigue or malaise beyond baseline, or other features of systemic illness
Flank pain
Costovertebral angle tenderness
Pelvic or perineal pain in males
Symptoms of cystitis (as above) may or may not be present
Antimicrobial for complicated UTI
Oral fluoroquinolone (ciprofloxacin or levofloxacin)
for 5 to 7 days
Consider 1-time IV dose of 1 g of ceftriaxone or a
dose of an aminoglycoside
Antimicrobial for uncomplicated pyelonephritis
Ciprofloxacin 500mg twice daily for seven days
Co-trimoxazole 960mg twice daily for 10–14 days
