Peds GU

Question 1

What percent of girls will have recurrent UTIs after the first

Answer 1

60-80%

Question 2

what are most UTI’s due to

Answer 2

enteric bacteria: E. coli, Klebsiella, proteus, enterococcus

Question 3

Where is the lower tract UTI mainly located

Answer 3

cysitis

Question 4

What are the symptoms of lower tract UTI

Answer 4

dysuria, urgency, frequency, suprapubic pain, incontinence, malodorous urine, fever

Question 5

Where is the upper tract UTI mainly located

Answer 5

Kidney i.e. pyelonephritis

Question 6

What are the symptoms of the upper tract UTI

Answer 6

renal scarring, abd or flank pain, fever, malaise, vomiting and diarrhea

Question 7

what is the vesicoureteral reflux

Answer 7

retrograde flow of urine from the bladder to the ureter and renal pelvis, result in renal scarring

Question 8

what is the treatment of vesicoureteral reflux

Answer 8

prophylactic antibiotics, yearly reeval of degree of reflux, surgery for reimplantation of ureters

Question 9

What is needed for the diagnosis of UTI

Answer 9

urine culture

Question 10

Treatment of acute cystitis

Answer 10

Bactrim in children >6mos,

Question 11

Treatment of pyelonephritis

Answer 11

14d broad spectrum antibiotics

Question 12

Definition of nocturnal enuresis

Answer 12

ocurrence of involuntary voiding at night at 5 yo

Question 13

risk of bed wetting in one parent history

Answer 13

44%

Question 14

risk of bed wetting in two parent history

Answer 14

77%

Question 15

What is definition of primary enuresis

Answer 15

self-limited, no etiology except FH

Question 16

what is the definition of secondary enuresis

Answer 16

diurnal and nocturnal with organic etiology