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Y4R2 - Obstetrics I 🤰 > L16: Renal & Urinary Diseases With Pregnancy > Flashcards

L16: Renal & Urinary Diseases With Pregnancy Flashcards

1
Q

Def of Asymptomatic Bacteruria

A
  • Presence of > 100 000 CFU (colony forming unit) / ml urine in
    midstream urine sample without symptoms.
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2
Q

Incidence of Asymptomatic Bacteruria

A

2-7%

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3
Q

Complications of Asymptomatic Bacteruria

A

Maternal & Fetal

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4
Q

maternal Complications of Asymptomatic Bacteruria

A

Acute cystitis or pyelonephritis, PIH & abortion or preterm labor.

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5
Q

Fetal Complications of Asymptomatic Bacteruria

A

IUGR & IUFD

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6
Q

TTT of Asymptomatic Bacteruria

A

Antibiotics.
- Nitrofurantoin: 100 mg/ 12 hrs for 10 days.

  • Others: Ampicillin, amoxicillin or cephalosporins.
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7
Q

Def of Acute Pylonephritis in Pregnancy

A

Acute infection involving renal pelvis (pyelitis) & interstitial tissue (nephritis).

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8
Q

Predisposing Factors for Acute Pylonephritis in Pregnancy

A
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9
Q

Predisposing Factors for Acute Pylonephritis in Pregnancy

  • Asymptomatic Bacteruria
A

20-40% of cases develop symptomatic infection if not treated.

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10
Q

Predisposing Factors for Acute Pylonephritis in Pregnancy

  • Urinary Stasis
A
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11
Q

Predisposing Factors for Acute Pylonephritis in Pregnancy

  • iatrogenic
A

Repeated catheterization.

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12
Q

Predisposing Factors for Acute Pylonephritis in Pregnancy

  • Diseases
A

DM, sickle cell disease & immunosuppressive diseases.

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13
Q

Organisms causing Acute Pylonephritis in Pregnancy

A
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14
Q

Routes of Infection by Acute Pylonephritis in Pregnancy

A
  • Ascending (through lumen).
  • Lymphatic.
  • Hematogenous
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15
Q

Complications of Acute Pylonephritis in Pregnancy

A

Maternal & fetal

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16
Q

Maternal Complications of Acute Pylonephritis in Pregnancy

A
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17
Q

Fetal Complications of Acute Pylonephritis in Pregnancy

A

IUGR & IUFD

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18
Q

Dx of Acute Pylonephritis in Pregnancy

A
19
Q

Dx of Acute Pylonephritis in Pregnancy

  • Symptoms
A
20
Q

Dx of Acute Pylonephritis in Pregnancy

  • Onset of Symptoms
A

Abrupt

21
Q

Dx of Acute Pylonephritis in Pregnancy

  • Signs
A

Fever, tachycardia & tenderness in one or both renal angles.

22
Q

Dx of Acute Pylonephritis in Pregnancy

  • INVx
A
23
Q

Investigations for Acute Pyelonephritis in Pregnancy

A
24
Q

Investigations for Acute Pyelonephritis in Pregnancy

  • Urine Analysis
A

Pus cells > 10/HPF.

25
Q

Investigations for Acute Pyelonephritis in Pregnancy

  • Urine Culture
A

On both aerobic & anaerobic media.

26
Q

Investigations for Acute Pyelonephritis in Pregnancy

  • Renal US
A

To detect underlying lesion in resistant cases.

27
Q

Investigations for Acute Pyelonephritis in Pregnancy

  • Single IVP
A

In resistant cases.

28
Q

DDx of Acute Pyelonephritis in Pregnancy

A

From other causes of fever è rigors, vomiting & acute abdomen in pregnancy.

29
Q

TTT of Acute Pyelonephritis in Pregnancy

A
30
Q

TTT of Acute Pyelonephritis in Pregnancy

  • General Lines
A
31
Q

TTT of Acute Pyelonephritis in Pregnancy

  • Antibiotics
A
  • (nitrofurantoin, penicillin or cephalosporins) then → change according to results of culture & sensitivity testing.
32
Q

TTT of Acute Pyelonephritis in Pregnancy

  • TTT of Cause
A

Relieve obstruction → (ureteric stent or percutaneous nephrostomy).

33
Q

Degrees of CRF in Pregnancy

A
34
Q

Complications of CRF in Pregnancy

A
35
Q

Def of AKI in Pregnancy

A

Condition in which kidneys are temporarily unable to perform their functions.

36
Q

Etiology of AKI in Pregnancy

A
37
Q

CP of AKI in Pregnancy

A
38
Q

Prevention of AKI in Pregnancy

A
39
Q

TTT of AKI in Pregnancy

A
40
Q

Risks of Pregnancy after Renal Transplant

A
41
Q

Managment of Pregnancy after Renal Transplant

A
42
Q

Managment of Pregnancy after Renal Transplant

  • Preconceptional Care
A
43
Q

Managment of Pregnancy after Renal Transplant

  • Managment During Pregnancy
A
  • Close observation & monitoring of renal function.
  • Treatment of bacteriuria.
  • Follow up of immunosuppressive therapy.

Y4R2 - Obstetrics I 🤰 (59 decks)

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