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Obstetrics I - OSCE > Renal & urinary Diseases > Flashcards

Renal & urinary Diseases Flashcards

1
Q
A
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2
Q

Def of Asymptomatic Bacteruria

A
  • Presence of > 100 000 CFU (colony forming unit) / ml urine in
    midstream urine sample without symptoms.
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3
Q

Incidence of Asymptomatic Bacteruria

A

2-7%

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4
Q

Complications of Asymptomatic Bacteruria

A

Maternal & Fetal

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5
Q

maternal Complications of Asymptomatic Bacteruria

A

Acute cystitis or pyelonephritis, PIH & abortion or preterm labor.

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6
Q

Fetal Complications of Asymptomatic Bacteruria

A

IUGR & IUFD

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7
Q

TTT of Asymptomatic Bacteruria

A

Antibiotics.
- Nitrofurantoin: 100 mg/ 12 hrs for 10 days.

  • Others: Ampicillin, amoxicillin or cephalosporins.
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8
Q

Predisposing Factors for Acute Pylonephritis in Pregnancy

A
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9
Q

Predisposing Factors for Acute Pylonephritis in Pregnancy

  • Asymptomatic Bacteruria
A

20-40% of cases develop symptomatic infection if not treated.

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10
Q

Predisposing Factors for Acute Pylonephritis in Pregnancy

  • Urinary Stasis
A
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11
Q

Predisposing Factors for Acute Pylonephritis in Pregnancy

  • iatrogenic
A

Repeated catheterization.

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12
Q

Predisposing Factors for Acute Pylonephritis in Pregnancy

  • Diseases
A

DM, sickle cell disease & immunosuppressive diseases.

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13
Q

Complications of Acute Pylonephritis in Pregnancy

A

Maternal & fetal

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14
Q

Maternal Complications of Acute Pylonephritis in Pregnancy

A
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15
Q

Fetal Complications of Acute Pylonephritis in Pregnancy

A

IUGR & IUFD

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16
Q

Dx of Acute Pylonephritis in Pregnancy

A
17
Q

Dx of Acute Pylonephritis in Pregnancy

  • Symptoms
A
18
Q

Dx of Acute Pylonephritis in Pregnancy

  • Onset of Symptoms
A

Abrupt

19
Q

Dx of Acute Pylonephritis in Pregnancy

  • Signs
A

Fever, tachycardia & tenderness in one or both renal angles.

20
Q

Dx of Acute Pylonephritis in Pregnancy

  • INVx
A
21
Q

Investigations for Acute Pyelonephritis in Pregnancy

  • Urine Analysis
A

Pus cells > 10/HPF.

22
Q

Investigations for Acute Pyelonephritis in Pregnancy

  • Urine Culture
A

On both aerobic & anaerobic media.

23
Q

Investigations for Acute Pyelonephritis in Pregnancy

  • Renal US
A

To detect underlying lesion in resistant cases.

24
Q

DDx of Acute Pyelonephritis in Pregnancy

A

From other causes of fever è rigors, vomiting & acute abdomen in pregnancy.

25
Q

TTT of Acute Pyelonephritis in Pregnancy

A
26
Q

TTT of Acute Pyelonephritis in Pregnancy

  • General Lines
A
27
Q

TTT of Acute Pyelonephritis in Pregnancy

  • Antibiotics
A
  • (nitrofurantoin, penicillin or cephalosporins) then → change according to results of culture & sensitivity testing.
28
Q

TTT of Acute Pyelonephritis in Pregnancy

  • TTT of Cause
A

Relieve obstruction → (ureteric stent or percutaneous nephrostomy).

29
Q

Risks of Pregnancy after Renal Transplant

A
30
Q

Managment of Pregnancy after Renal Transplant

A

Obstetrics I - OSCE (32 decks)

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