GU Infections Flashcards
Imaging findings in pyelo
Enlarged kidney
Delayed nephrogram
Wedge-shaped non-enhancing region
Specific finding on UA in pyelonephritis
white blood cell casts
Outpatient antibiotic tx for pyelo
Levofloxacin
Ciprofloxacin
Bactrim
10-14 days
Antibiotics for pregnant pt with pyelo
IV Ceftriaxone
IV Amp + Gent
Transition to oral Keflex
If persistent fevers 3-5 days after appropriate abx for pyelo, ____ to rule out____
CT A/P with IV contrast
Renal abscess
E Coli is pathogenic due to ____ that bind to P group
Fimbriae
Treatment of <3cm renal abscess
IV antibiotics
Treatment of 3-5cm renal abscess
PCN drain + IV abx
Treatment of >5cm renal abscess
PCN or open drainage or nephrectomy
Chronically inflamed kidney with loss of parenchyma & renal function
Xanthogranulomatous Pyelonephritis (XGP)
XGP is associated with ___ and ___ co-morbidity
infections
DM
Gas-producing infection of renal parenchyma
Emphysematous Pyelonephritis
Treatment of Emphysematous Pyelonephritis
Broad spectrum abx + PCN drainage
Antibiotics for infected renal cyst
Ciprofloxacin
Bactrim
Clindamycin
Chloramphenicol
Gas producing bacterial infection in collecting system
Emphysematous Pyelitis
