Renal/Uro Flashcards

1
Q

Most common UTI pathogen?

A

E.Coli

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

Why are women more likely to get UTIs over Men?

A

Men have longer urethra (less likely to get them unless BPH present)

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

A positive Urine culture would should what?

A

WBCs/leukocyte esterase

**Nitrates typically indicated bacteria is gram neg rods (E.Coli)

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

CFU amount that indicates a positive UA (C&S)

A

> 100k CFU (colony forming units)

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

how do we collect a UA in children who are not toilet trained?

A

Catheterization

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

**Urine culture results will be altered if patient already taking ABX

A

remember C&S before ABX!

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

ABX of choice for UTI

A

AMOXICILLIN - not used as often d/t resistance, safe in pregnancy

Nitrofurantoin - only for uncomplicated cystitis ***do not use in 3rd trimester!

TMP-SMX (Bactrim) —> NOT used in pregnancy (sulfa)

Fosfomycin - 1x dose

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

complicated UTI / not preggers ABX

A

ciprofloxacin
levofloxacin

*** DONT USE fluroquinolones in pregnancy

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

general rule for treating uncomplicated UTI vs complicated

length of time

A

uncomplicated = 3-5 days

complicated = 10-14 days
**all men/ children always get this since they are always considered complicated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

UTI tx in pregnancy

A

PCN (amoxicillin)
Cephalosporin
nitrofurantoin (up to 37 weeks)

10-14 days!

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

what abx classes do you avoid in pregnancy when treating a UTI?

A

Fluroquinolones & Sulfa drugs!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

pt with pyelonephritis has not improved after 48-72 hours on appropriate abx… what should next steps be? `

A

Renal ultrasound or CT scan

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

Tx for pyelonephritis

A

complicated —>

Fluroquinolones = Ciprofloxacin or Levofloxacin
Bactrim

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

What are casts

A

mucoprotein formed in the renal tubules

RBC cast = contains trapped RBCs

**Indicates glomerular injury!

(like a cast that shows the RBCs/inside of kidney

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

what is urolithiasis?

A

bladder stone

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

what is nephrolithiasis?

A

kidney stone

17
Q

what is the most common kidney stone?

A

calcium oxalate

18
Q

what is enuresis?

A

involuntary loss of urine in children

19
Q

what is the detrusor muscle?

A

bladder

20
Q

what kind of urinary incontinence results in a underactive or outlet obstructed detrusor?

A

Overflow incontinence

21
Q

what happens in overflow incontinence

A

bladder completely full d/t under active bladder or blockage

not able to empty properly

22
Q

an overactive detrusor muscles creates what kind of urinary incontinence?

A

URGE incontinence

23
Q

what happens in urge incontinence

A

normal amount of urine in bladder, but detrusor muscle is OVERACTIVE

Constant urge d/t overactive bladder

**Most common type