Last minute crammin' Flashcards
Fluoroquinolone (levofloxacin, ciprofloxacin) OR TMP-SMX for 6 WEEKS
Acute or chronic bacterial prostatitis
Doxycycline 100 mg PO BID x 7 days
Non-gonococcal urethritis
Trimethoprim-Sulfamethoxazole: 160/800 mg PO BID x 3 days
1st line UTI
IV Fluoroquinolone
Inpatient pyelonephritis
If you know the local e. coli are TMP-SMX susceptible and your patient has pyelonephritis
TMP-SMX 160/800 mg PO BID x 7-10 days
20% of local e coli show resistance
don’t use 1st line UTI treatments
tolterodine
fesoterodine
oxybutynin
antimuscarinics for urgency incontinence
Contraindicated in early pyelonephritis
Fosfomycin
Nitrofurantoin
Ciprofloxacin ER 1000 mg PO once daily x5-7 days
Pyelonephritis
Always treated with combination therapy
Gonococcal urethritis
E coli resistant Pyelonephritis
Immunocompromised/comorbidities+UTI
1-2 weeks treatment (1st line drug)
Ciprofloxacin 500 mg PO BID x 5-7 days
Pyelonephritis
Finasteride
dutasteride
5-alpha reductase inhibitors
Ceftriaxone 250 mg IM + Azithromycin 1g x 1 dose
Gonococcal urethritis
1st line BPH
alpha blockers
Which tumors are treated with nerve sparing retroperitoneal lymph node dissection because they’re radio-resistant
non-semimomatous
Pyelonephritis is treated with
oral fluoroquinolone monotherapy
Which tumors are radiosensitive
Semimomatous
Male+UTI
1st line treatments for 1 week
If local E coli are fluoro resistant and your patient has pyelonephritis
Initial IV/IM dose of Ceftriaxone 1gm
Levofloxacin 750 mg PO once daily x 5-7 days
Pyelonephritis
IV Extended spectrum cephalosporin or penicillin
Inpatient pyelonephritis
Gonococcal urethritis is always treated
combination therapy
IM abx + 1 dose of azithro
Augmentin
Cefdinir
Cipro
Leva
UTI alternate tx
Gentamicin 240 mg IM + Azithromycin 2g x 1 dose
Gonococcal urethritis with a pcn allergy
IV Aminoglycoside: Zemdri
Inpatient pyelonephritis
who needs a repeat urine culture
pregnant+UTI/pyelonephritis
acute bacterial prostatitis
Fosfomycin 3 gm PO single dose
1st line UTI
Augmentin
Cephalexin
Cefpodoxime
Fosfomycin
Pregnant+UTI
Azithromycin 1 g oral
Non-gonococcal urethritis
Pyelonephritis imaging
CT AP with and without contrast
IV Carbapenem: Vabomere
Inpatient pyelonephritis
Alpha blockers+Abx+5-alpha-reductase inhibitors
chronic prostatitis/pelvic pain syndrome
2nd line BPH
5-alpha reductase inhibitors
Always treated with combination therapy
Gonococcal urethritis
E coli resistant Pyelonephritis
epididymitis from STI
Nitrofurantoin 100 mg PO BID x 5 days
1st line UTI
Pregnant+UTI
NO FLUOROQUINOLONES Augmentin Cephalexin Cefpodoxime Fosfomycin
Ceftriaxone 250 mg IM x1 + Doxycycline 100 mg BID 10 days
Epididymitis that is suspected to be from an STI
Levofloxacin 500 mg x 10 days
Ofloxacin 300 mg BID x 10 days
Epididymitis that is suspected to be from an an enteric organism
Berger disease
IgA nephropathy
Henoch-scholnein purpura
IgA vasculitis
Wegener granulomatosis
Granulomatosis with polyangiitis
Churg-strauss syndrome
eosinphilic ranulomatosis with polyangiitis
screening after prostate cancer
PSA
6-12 months for 5 years
then anually
screening after testicular cancer
q3 months x 2 years
q6 months x 5 years
then annually
Phosphate binders that don’t have calcium
Aluminum hydroxide
Lanthanum carbonate
Phosphate binders that have calcium
Calcium acetate
Calcium carbonate
Muddy brown casts
acute tubular necrosis (intrarenal disease)