GU/reproductive Flashcards
What are the 3 treaments for acute cystitis / UTI
Nitrofuantoin 7 days
Trimethoprim/Sulfamethoxazole 3 days
Cipro (for pyelonephritis)
whats the most common cause for Acute cystitis
E coli
whats the most common cause of pyelonephritis
E coli
whats the main p. exam finding for pyelonephritis
CVA tenderness (costovertebral)
whats the tx for pyelonephritis
Cipro 500mg po bid x 14 days
Whats the most common cause of prostatitis in a male under 35 yrs.
gonorrheae or chlamydia
65 yr old male presents with inflammation of the prostate… the most common cause would be
E coli
Pt presents with malaise, fever, chills, low back and rectal pain, dysuria, frequency. what is the most likely cause
prostatitis
How would you treat prostatitis
quinolone (cipro) vs. TMP-SMX 4-6 wks.
whats the most common cause of epididymitis
E coli for boys and men older than 35.
-<35 chlamydia and gonorrhea
whats most common cause of urethritis
Neisseria gonorrhea
what are some causes of balanitis
candida, group B strep, and gardnerella
describe balanitis and balanoposthitis
inflammation of glans penis and foreskin
HOw would u tx balanitis
antifungal or topical bacitracin
whats the most common cause of orchitis
mumps (seen with swollen parotid glands) a viral infection
besides mumps being the most common cause orchitis what bacteria can cause this
E-coli in elderly
< 35 yrs. gonorrhea and chlamydia
list some normal flora residing in the vagina
Lactobacilli, group B strep, E coli, Staph epi.
This patient would have cervical motion tenderness upon finger palpation along with fever, lower abd pain and vaginal discharge
Pelvic Inflammatory disease
How would u treat PID (pelvic inflammatory disese)
Antibiotics
what are 3 pathogens most often seen in the uterus
N. gonorrhea, chlamydia, and bacteroides
list 4 pathogens found causing cervicitis
chlamydia, gonorrhea, HSV, and trichomonas infection
List the 4 main pathogens of vaginitis
trichomonas vaginalis, chlamydia trachomatis, gardnerela vaginalis, and N. gonorrhea
whats the main yeast responsible for candidiasis
candida albicans (an opportunistic infection of musous membranes and skin caused by yeast
a pt presents with thick, odorless vaginal discharge resembling curd/cottage cheese, redness, inflammation, edema. whats a probable pathogen?
candidiasis
wahts the most common pathogen causing diaper rash
candidiasis
What tests and findings would you see to ID candidiasis
budding yeast, hyphae present on a gram smear.
most common pathogen causing mastitis/abscess of the breast
staph. aureus
how would you treat mastitis
NSAIDs
how would u treat abscess in the breast
surgical drainage, antibiotics
Whats a major finding that helps distinguish between gonorrhea and chlamydia (particularly in men)
gonorrhea presents with more purulent discharge vs. a more white/clear in chlamydia
what is the most common STI
human papilloma virus
how would u treat Herpes simplex virus 2
acyclovir
This pt has copious foul smelling vaginal discharge caused by a parasite. whats the most likely disease
trichomonas vaginalis
how would you treat trichomonas vaginalis
Metronidazole