lower urinary tract infection Flashcards

1
Q

presentation of lower urinary tract infection

A

dysuria
suprapubic pain
frequency
urgency
incontinence
haematuria

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2
Q

what to note on an urine dip in LUTI

A

nitrites- gram neg (e.coli) break down nitrates
leukocytes
microscopic haematuria

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3
Q

when to do a MSU

A

pregnant patients
patients with recurrent UTIs
atypical symptoms
symptoms don’t improve with abx

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4
Q

causes of LUTI

A

e.coli- gram neg, anaerobic, rod shaped
also kleb pneumoniae

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5
Q

management of LUTI

A

trimethoprim
nitrofurantoin (avoid in patients with eGFR <45)

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6
Q

management of LUTI in pregnancy

A

requires 7 days
nitrofurantoin (not in third trimester)
amoxicillin
cefalexin
trimethoprim avoid in first trimester

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