FN: UTI

Question 1

Classification

Answer 1

1. Uncomplicated
2. Complicated
3. Recurrent
4. Relapse

Question 2

Uncomplicated

Answer 2

Normal GU tract and function

Question 3

Complicated

Answer 3

Abnormal GU tract, outflow obstruction, reduced renal function, impaired host defence, virulent organism

Question 4

Recurrent

Answer 4

Further infection with new organism

Question 5

Relapse

Answer 5

Further infection with same organisms

Question 6

Presentation of pyelonephritis

Answer 6

Fever, rigors
Loin pain and tenderness
Vomiting
Oliguria if ARF

Question 7

Cystitis

Answer 7

Freqeuncy and urgency
Polyuria
Haematuria
dysuria
Suprapubic tenderness
Foul smelling urine

Question 8

Prostatitis

Answer 8

flu-like symptoms
Low backach
dysuria
Tender swollen rostate on PR

Question 9

Sterile Pyuria

Answer 9

TB
Treated UTI
Appendicitis
Calculi
TIN
Papillary necrosis
Polycytis kidney
Chemical cystitis  (e.g. cyclophosphamide)

Question 10

Risk factors

Answer 10

Female
Sex
Pregnancy
Menopause
DM
Abnorma tract: stone, obstruction, catheter, malformation

Question 11

Organisms

Answer 11

E. coli
Staphylococcus, saprophyticus
Proteus (alkaline urine - struvile renal stones)
Klebsiella

Question 12

Investigation

Answer 12

Dipstick
MSU for MCS
Bloods: FBC, U+E, blood cultures (if systemic signs)
US: children, men, recurrence,, pyelonephritis

Question 13

Treatment generally

Answer 13

Drink plenty, urinarte often

Question 14

Cystitis Rx

Answer 14

3-6days
Trimethoprim 200mg BD
Nitrofurantoin 50mg QDS (not in RF)
Cefalexin 500mg BD (good in RF)
Co-amoxiclav 635mg TDS

Question 15

Pyelonephritis

Answer 15

Cefotaxime 1g IV BD for 10d

No response: augmentin 1.2g IV TDS + gentamicin

Question 16

Prevention

Answer 16

Drink more
Abx prophylaxis
? cranberry juice