Pyelonephritis & UTI

Question 1

Presentation:

Answer 1

1. Dysuria
2. Frequency
3. LAP
4. Flank pain
5. Pyrexia
6. N/V
7. Rigors
8. RAT

Question 2

When to accept as Uro pt?

Answer 2

1. Obstruction
2. Stone
3. Congenital abn.

Question 3

Initial Investigations:

Answer 3

1. Bloods - FBC, U&E, CRP, Blood culture
2. Urine - dipstick, culture
3. Imaging - CT KUB

Question 4

ABx Mx - Non-pregant Female & Male:

Answer 4

1. Nitrofurantoin 100 mg MR BD
2. or Trimethoprim 200 mg BD

Question 5

ABx for pyelonephritis:

Answer 5

1. Stat IV Gent
2. Co-amoxiclav 1.2 g IV TDS

Question 6

ABx for pyelonephritis - penicillin allergy:

Answer 6

1. Cefuroxime 1.5 g IV TDS for 7/7

Question 7

Further investigations for male with UTI / pyelonephritis:

Answer 7

1. OP flow rate
2. Post void residual vol.
3. U/S KUB