GU Flashcards
RBC cast cells indicate
Kidney disease/infarct
WBC casts indicate
Pyelonephritis
Positive nitrates bacteria 20+ indicates
UTI
What is the most primary common organism in UTI in females?
Gram negative UTI
What is the treatment for UTI?
TMP-SMX (Bactrim) 1 po bid x 3 days
or Macrobid (nitrofurantoin) 100 mg po BID x 5 days
What is the typical presentation of infants with UTI?
fever
irritability
failure to thrive
loss of appetite
What is the treatment for UTI in kids?
Cephalexin 50 mg/kg/day PO divided TID
Bactrim 4-5 mg/kg/day PO BID for 7-10 days
What GU conditions have hematuria?
Pyelonephritis
stones
cancer —-painless hematuria is indicative of bladder or renal cancer
What is the treatment for uncomplicated pyelonephritis(usually patients are women 18-40 years old)
Ciprofloxacin 500 mg BID x 7 days
Levofloxain 750 mg PO Qday x 7 days
If fluroquinolone not an option then. bactrim 1 po bid x 10-14 days
Symptoms of vaginitis are…
vaginal itching
discharge
burning
painful intercourse
foul oder
Organisms that make up 95% of vaginitis conditions are
Trichomonas vaginalis —sexually transmitted
candida
bacterial vaginosis (BV)
What is the treatment for BV ( KOh-whiff test positive, ph>4.5–white grey discharge
Boric acid
metronidazole(Flagyl). 500 mg BID x 7 days
What is your treatment plan for Candida, yeast infection, yeast vaginitis
Diflucan (flucanozole). 150 mg once or may repeat 4-7 days if symptoms continue
Monistat 1, 3, 7 -day corse OTC or rX
Probiotics — lactobacillus needed
What is the main complaint in Yeast vaginitis?
Vaginal itching
curdy white discharge
What is the diagnostic test for BV?
Clue cells present on microscopy
