GU infections/inflammatory conditions Flashcards
what is the most likely diagnosis?
male pain - back/perineum/penis obstructive/voiding symptoms fevers boggy/tender prostate on DRE
prostatitis
management for prostatitis?
14 day quinolone (ciprofloxacin etc)
consider STI screen
what is the most likely diagnosis?
fairly asymptomatic
urethral discharge or dysuria
non-gonococcal
7/7 oral doxycycline
OR
single oral dose of azithromycin
gonococcal
both oral doxy and azithromycin
what is the most likely diagnosis?
unilateral testicular swelling and pain
urethral discharge
prehn’s sign positive
Epididmyo-orchitis
Ix to do is suspecting Epididmyo-orchitis ?
STI screen
urinanalysis - espcially urine dip
Mx for Epididmyo-orchitis ?
IM ceftriaxone (500mg) + 10-14/7 100mg oral Doxy BD
acute onset of itchy foreskin, white discharge and typically happening after sexual intercourse
candidal balanitis
mx of candidal balanitis
topical clotrimazole (2 weeks)
acute painful and itchy foreskin, yellow non-urethral discharge
bacterial balanitis
mx of bacterial balanitis
flucloxacillin or clarithromycin
acute, itchy foreskin, clear non-urethral discharge
dermatitis- related balanitis
acute painful itchy foreskin, not associated with any discharge
eczema-psoriasis related balanitis
itchy foreskin, offensive, yellow non-urethral discharge
anaerobic bacterial balanitis
itchy foreskin with wickhams striae and violaceous plaques
lichens planus
mx for dermatitis related balanitis
mild potency corticosteroids (hydrocortisone)
mx for eczema/psoriasis related balanitis
mild potency corticosteroids (hydrocortisone)
mx for anaerobic bacterial balanitis
tropical/oral metronidazole
chronic white plaques, itchy foreskin, significant scarring
lichens sclerosis
mx for lichen sclerosis balanitis
high potent topical steroids (clobetasol)
sometimes circumcision can help
not itchy foreskin, painless erosions, no discharge
linked to reactive arthritis
circinate balanitis
mx for circinate balanitis
mild potency corticosteroids (hydrocortisone)
chronic clearly circumscribed areas of inflmmation on foreskin
not itchy
plasma cell balanitis
what is the most likely diagnosis? lower abdo/suprapubic pain dysuria /frequency/urgency/nocturia cloudy/offensive smell to urine low grade fever/malaise
elderly - acute confusion
Cystitis/UTI
mx for non-pregnant women for UTI?
trimethoprim/nitrofurantoin for 3/7days
mx for pregnancy women with UTI?
7/7 day abx
send urine MCS
first trimester -> nitrofurantoin
closer to term -> trimethoprim
mx for UTI in men?
7/7 nitrofurantoin or trimethoprim
same for catheterised pts
mx of UTI in children
<3months = immediate paeds referral
> 3months and UUTI = consider admission and oral cephalosporin/co-amox
> 3months and LUTI = oral abx - local guideline
