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
What is your key education for someone prescribing flagyl 500 mg BID for. BV?
NO alcohol for duration of treatment or 2 days later
or vomiting will occur
abstinence as well for duration
