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Clin Med II - Exam 4 > Schoenwald - Infections of the Urinary Tract > Flashcards

Schoenwald - Infections of the Urinary Tract Flashcards

1
Q

most UTIs are caused by

A

enteric organisms inside the body

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2
Q

mc cause of UTI

A

e.coli

gram negative rods

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3
Q

sx of UTI (4)

A

dysuria

frequency

low back pain

fever

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4
Q

the only sx of UTI in elderly pt may be

A

AMS

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5
Q

are UTIs mc in men or women

A

women

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6
Q

untreated UTI can lead to __,

ascending infxn can lead to __

A

urosepsis

pyelonephritis

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7
Q

ascending e.coli infxn leads to induction of __;

e.coli crosses __ barrier

and causes __

A

cytokines

tubular epithelial border

bactertemia

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8
Q

mc cause of pyelonephritis

A

ascending UTI →

e.coli

gram negative rods

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9
Q

sx of pyelonephritis

A

same as UTI:

flank pain

fever

nausea

vomiting

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10
Q

pe finding of pyelonephritis

A

CVA tenderness

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11
Q

lab findings of pyelonephritis

A

WBC casts

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12
Q

tx for pyelonephritis

A

targeted IV abx

10-14 days

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13
Q

3 UA findings in pyelonephritis

A

alkaline phos

(+) leukocyte esterase

(+) nitrite

+/- hematuria

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14
Q

how are UTIs classified (2)

A

uncomplicated

complicated

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15
Q

indications for uncomplicated UTI (4)

A

healthy → no underlying condition

not pregnant

pre menopausal female

intact/normal urinary tract system

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16
Q

indications for complicated UTI (lots!)

A

predisposing condition

male

elderly

pregnant

previous hospitalization

indwelling catheter

recent abx

sx present 7 days or more

functional or abnormal anatomic urinary tract system

recent UTI intervention

17
Q

tx for uncomplicated UTI

A

abx x 3 days

18
Q

tx for complicated UTI

A

abx x 7-10 days

19
Q

abx options for UTI (6)

A

notrofurantoin

cipro

levaquin

bactrim

amoxicillin

cephalexin

20
Q

nitrofurantoin works in the __ ONLY

A

bladder

21
Q

contraindication for nitrofurantoin

A

poor renal fxn

22
Q

__ criteria should be considered when prescribing nitrofurantoin in elderly pt’s

A

beers

23
Q

if treating UTI in pregnant pt, abx should last

A

10-14 days

24
Q

abx for UTI in pregnant pt (2)

A

amoxicillin

cephalexin

Clin Med II - Exam 4 (20 decks)

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