GU and STI Flashcards
pyelonephritis
kidney infection
cystitis
bladder inflammation
uti bacteria is from
your own bacteria
uti mechanism in women
vagina gets fecal flora, bacteria goes up to bladder via urethra
-can go to kidneys (pyelonephritis)
why are women more at risk for uti
urethra is shorter
MAIN CAUSE FOR UTI
E COLI
common irritative symptoms for lower ut
- frequency
- urgency
- dysuria
- nocturia
urinalysis looks for
- wbc
- nitrates
- rbc
semiquantitative way of diagnosing uti
urine culture
asymptomatic bacteriuria treatment
NO TREATMENT REQUIRED
SO DONT SCREEN
uncomplicated cystitis
infection of urinary bladder
cystitis patients
- uncomplicated: young healthy women
- complicated: everyone else (more Rx needed)
uncomplicated pyelonephritis
- young healthy females
- flank pain
complicated pyelonephritis
- everyone else
- always get urine and blood cultures
- more resistant, need more follow-ups
treatment for uti in asymptomatic patients
only if pregnant and impending GU procedure
treatment for pyelonephritis
-start with IV then go oral Abx
treamtne for uncomplicated UTI (1st line)
nitrofurantoin
organism that causes syphilis
treponema pallidum
syphilis is higher in
males
primary syphilis
- 3 weeks after infection
- ulcer (chancre)
- usually unnoticed
tertiary syphilis
- many years later
- Cv, CNS, and gummatous (any organ)
what is used to treat syphilis
penicillin
- <1 year = 1 dose
- late or >1 year = 3 doses weekly
- neuro = 2 weeks at higher dose
many infections of gonorrhea are
asymptomatic
n gonorrhea causes
urethritis
treatment for gonorrhea also treats for
chlamydia
what is the treatment for gonorrhea
ceftriaxone and azithromycin
