Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

renal > pediatric UTI > Flashcards

pediatric UTI Flashcards

1
Q

2nd most common infection in children

A

UTI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

incr risk of renal scarring assc’d with which bacteria?

A

any bacteria other than E coli

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what ages are at higher risk for UTI?

A

boys younger than 1 yr

girls younger than 4 yrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is a complication of UTI causing HTN, proteinuria, and renal failure

A

renal scarring

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

urine sample: when to get for girls and uncircumcised boys under 2 yrs

A

when present with at least 1 risk factor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

urine sample: when to get for circumcised boys under 2 yrs

A

suprapubic tenderness or at least 2 risk factors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

urine sample: when to get for girls and uncircumcised boys > 2 yrs

A

when present with any urinary sx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

urine sample: when to get for circumcised boys > 2 yrs

A

when present with multiple urinary sx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

risk factors for UTI (7)

A
  1. abd pain
  2. back pain
  3. fever and no other apparent source
  4. ill appearing
  5. suprapubic tenderness
  6. fever>24 hrs
  7. non-Af Am
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

gold standard for UTI

A

urine culture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is urosepsis

A
  1. toxic appearence
  2. hypotension
  3. poor cap refill
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

when do UTI in neonates usu present

A

2nd-3rd week

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

incidence of UTI in neonates is ____more in uncircumcised that circumcised

A

10x

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

best method for urine culture in neonates

A

suprapubic aspiration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

most common bugs for UTI in preterm infants (2)

A
  1. Coag neg Staph

2. klebsiella

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

most common bugs for UTI in term infants (1)

A

E coli

17
Q

is preterm or term more likely to have hematagenous spread?

A

preterm infants more likely to have sepsis

18
Q

term infants are more likely to have____ than ______

A

pyelonephritis (ascending)» hematogenous spread

19
Q

tx of neonate UTI

A

IV ampicillin + gentamycin 10-14 days

20
Q

tx of pediatric UTI

A

3rd gen cephalosporins + aminoglycosides

21
Q

when to give oral meds

A

if age >2 months, not vomiting, family close

22
Q

how long to tx with oral meds

A

3-5 days

23
Q

f/u if failure to improve or worsening after 48 hrs

A
  1. add amoxicillin
  2. obtain renal and bladder U/S
  3. urine culture
24
Q

when to give prophylactic Abx for recurrent UTI

A

if 3 febrile UTIs in 6 months, or 4 in 1 yr

25
Q

prophylactic tx for recurrent UTI

A

TMP-SMX or nitrofurantoin as single doses for 6 mon

26
Q

most common urologic finding in children

A

vesicourethral reflux

27
Q

vesicourethral reflux is more common in which grps (3)

A
  1. white kids
  2. girls
  3. younger than 2 yrs
28
Q

what is the most common form of reflux

A

primary VUR

29
Q

VUR due to incompetent closure of ureterovesical jxn

A

primary VUR

30
Q

VUR due to abnormally high pressure in bladder resulting in failure of closure

A

secondary VUR

31
Q

what grade of VUR: Reflux only fills ureter without dilation

A

grade 1

32
Q

Reflux fills ureter and collecting system without dilation

A

grade 2

33
Q

Reflux fills and mildly dilates ureter and collecting system with mild blunting of calyces

A

grade 3

34
Q

Reflux fills and grossly dilates ureter and collecting system with blunting of calyces. Some tortuosity of ureter also present

A

grade 4

35
Q

Massive reflux grossly dilates collecting system. All calyces are blunted with loss of papillary impression, and intrarenal reflux may be present. There is significant ureteral dilation

A

grade 5

36
Q

test of choice for dx of VUR

A

voiding cysturethrogram (VCUG)

37
Q

when if VCUG indicated

A
  1. kids with 2+ febrile UTI

2. kids with 1 febrile UTI and other risk factors

38
Q

presents as constipation, daytime wetting, frequency and urgency

A

bladder and bowel dysfxn

renal (27 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions