Micro 7 Pyelonephritis/Cystitis Flashcards

1
Q

Asymptomatic bacteriuria: Tx who?

A
  • Preschool children (in case of vesicouretal reflux or congenital problems)
  • Pregnant women
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2
Q

Cystitis Dx

A

Leukocyte esterase dipstick

-Nitrite test

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3
Q

Pyelonephritis Dx

A

Pyuria, fever

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4
Q

UTI cause

A

E. coli

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5
Q

Obstructive uropathy infection

A

Enterococci

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6
Q

Hemorrhagic cystitis in children

A

Adenovirus

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7
Q

Africa/Middle east cystitis and hematuria

A

Schistosoma haematobium

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8
Q

E. coli adherence mechanism

A

Type 1 pili or fimbriae

-(pathogenicity island)

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9
Q

Proteus virulence

A

Urease raises pH above 7.0

-Struvite stones

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10
Q

Community acquired UTI Tx

A

Nitrofurantoin

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11
Q

Nosocomial UTI Tx

A

Fluoroquinolone (ciprofloxacin)

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12
Q

Acute prostatitis Tx

A

Fluoroquinolone

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13
Q

Proteus Dx, Tx

A

Awesome looking colonies, struvite stones, urosepsis

-Fluoroquinolones

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14
Q

Staph saprophyticus Dx, Tx

A

Cystitis, gram stain and culture

-Penicillin

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15
Q

Gram+ diplococcus

A

Enterococcus faecalis

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16
Q

E. faecalis Tx

A
  • Test for sensitivities
  • Ampicillin
    • Vancomycin+aminoglycoside (gentamicin)
      • LINEZOLID is reserved