Exam 3: Diseases of Urinary and Reproductive System Flashcards
What are the three bacterial diseases of the Urinary system we talked about?
- UTIs (Bacterial Urinary Tract Infections
- Leptospirosis
- Acute Post-Streptococcal Glomerulonephritis
What are the symptoms of a Urinary Tract Infection (UTI)?
- persistent urge to urinate
- burning when urinating
- freq. and small amount of urination
- cloudy urine
- bright pink or “cola colored” urine
- strong-smelling urine
What sex are UTIs MC in? Where is the referred pain for males and females?
MC in females
Females–> pelvic pain
Males–> rectal pain
What two organisms should we know that cause UTIs? Which is MC?
Escherichia coli (80-85% cases)
Staphylococcus saprophyticus
(others:
- Proteus mirabilis
- Providencia stuartii
- Morganella morganii
- Serratia marcescens
- Citrobacter sp.
- Klebsiella sp.)
What is the mode of transmission for UTIs?
often self-inoculate fecal bacteria into urethra
urinary catheters common source of nosocomial inf.
What is the MC cause of NON-nosocomial UTI’s?
Escherichia coli (bacteria)
What disease is rare in the U.S. and causes abrupt fever, myalgia, muscle stiffness, HA– and later meningitis, rash, kidney failure, and jaundice?
Leptospirosis
when severe = Weil’s disease
What organism causes Leptospirosis? What is the mode of transmission?
Leptospira interrogans (gram - bacteria)
transmitted by contact with urine of infected animal or urine-contaminated water
What disease causes a sudden appearance of edema, hematuria, proteineria, HTN, and in adults if not Tx could cause irreversible kidney damage?
Acute Post-Streptococcal Glomerulonephritis
What organism causes Acute Post-Streptococcal Glomerulonephritis? How does one get this?
Streptococcus pyogenes
complication post-strep infection
MC in children
What are the three (bacterial or fungal) Nonvenereal diseases of the reproductive system we talked about?
- Staphylococcal Toxic Shock Syndrome (STSS)
- Bacterial Vaginosis
- Vaginal Yeast Infection
(nonvenereal = not sexually transmitted)
What disease occurs via a sudden-onset fever, chills, vomiting, diarrhea, AND* extremely low BP, confusion, severe red rash, loss of sheets of skin, and if un-Tx leads to shock?
Staphylococcal Toxic Shock Syndrome (STSS)
What organism causes Staphylococcal Toxic Shock Syndrome (STSS)? How does one get this?
Staphylococcus aureus (gram + bacteria)
strains producing TSS toxin grow in wound or in an abraded vagina
Who most commonly gets/ is more at risk of getting Staphylococcal Toxic Shock Syndrome (STSS)?
associated with tampons– menstruating females more at risk
What disease causes a white vaginal discharge with a “fishy” odor, vaginal itching/irritation, pain during intercourse, and burning during urination?
Bacterial Vaginosis
What organism causes Bacterial Vaginosis? How does one get it?
various anaerobic bacteria
ass. with multiple sexual partners and vaginal douching; but has NO evidence of sexual transmission
What disease causes severe vaginal itching and burning, pain, thick white, odor-free* vaginal discharge with a cottage cheese appearance*?
Vaginal Yeast Infection
What organism causes a Vaginal Yeast Infection? How does one get this?
Candida albicans
normal microbiota–opportunistic inf; often secondary to antibiotics
What is an “aka” for Vaginal Yeast Infection?
aka fungal vaginitis/candidiasis
is an overgrowth from change in vaginal pH or microbiota changes
Is Staphylococcal Toxic Shock Syndrome a medical emergency?
YESS
What should we recommend to patients to help prevent them getting a Vaginal Yeast Infection?
take probiotic
Are STI’s common worldwide? Who is most at risk?
yes
female adolescents are at higher risk (cervical lining is prone to bacterial inf.)
What will the presence of lesions from STDs create a risk factor for?
transmission of HIV
What is an “aka” for Gonorrhea? What organism causes this? How does one get it?
aka clap
Neisseria gonorrhoeae
the “Gonococcus”
STD
What will cause acute inflammation in a male 2-5 days after infection and extremely painful urination and pus-filled discharge, called urethritis?
Gonorrhea
What are the symptoms in a female associated with Gonorrhea?
50-80% often asymptomatic
can trigger pelvic inflammatory disease
What organism causes Gonorrhea? How does one get it?
Neisseria gonorrhoeae (gram - bacteria)
STD–> and can be infected multiple times
What individuals is Gonorrhea more common in?
19x more common in African Americans
MC in females (but more asymptomatic)