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Clin med A 2 > Trigger - UTI > Flashcards

Trigger - UTI Flashcards

1
Q

true or false:
women and children with over 100,000 colony counts/mL should always be screened for bacteriuria

A

FALSE

if asymptomatic it is recommended to NOT screen them

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2
Q

Infected stones, fistulas, foreign bodies, and prostatitis are all things that could cause what condition

A

persistent bacteriuria

(just think about how something is in there that is the source of the bacteria, it wont be clean til you get it out!)

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3
Q

abnormal voiding, intrinsic renal disease and decreased renal blood flow are all risk factors for what?

A

UTI

also included:
abnormal urine pH/osmolality, deficient mucosal coating

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4
Q

deficient mucosal coating and abnormal urine pH or osmolality are risk factors for what?

A

UTI

also included:
abnormal voiding, intrinsic renal disease and decreased renal blood flow

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5
Q

this condition is rare in men

A

acute cystitis

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6
Q

gross hematuria, irritative voiding, suprapubic pain and malaise

A

acute cystitis

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7
Q

PE shows suprapubic tenderness

A

acute cystitis

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8
Q

no imaging or UA is needed in acute cystitis unless…. what?

A

imaging - if male, to see underlying cause
UA - if s/s of systemic illness or risk for drug resistance

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9
Q

give 1st, 2nd and 3rd line treatments for acute cystitis (i know im sorry, but its good for you)

A

1st:
-nitrofurantoin
-bactrm or trimethoprim
-fosfomycin

2nd:
-augmentin
-cefdinir
-cephalexin

3rd:
-cipro or levo

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10
Q

when is phenazopyridine used

A

used as a urinary analgesic (helps with pain when peeing)

also used:
methenamine

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11
Q

when is methenamine used

A

used as a urinary analgesic (helps with pain when peeing)

also used:
phenazopyridine

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12
Q

CI in renal insufficiency

A

phenazopyridine and methenamine

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13
Q

SE includes dizziness, HA, GI cramps

A

Phenazopyridine

also see:
discolored urine

rare:
AKI, hemolytic anemia, methemoglobiinemia

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14
Q

rare SE includes AKI, hemolytic anemia, methemoglobinemia

A

phenazopyridine

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15
Q

this med is NOT for chronic/long term use and interferes with UA dip

A

phenazopyridine

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16
Q

this drug Metabolizes into formaldehyde and ammonia in urine

A

methenamine

17
Q

CI in renal/liver insufficiency and severe dehydration

A

methenamine

18
Q

DDI is sulfanamides

A

methenamine

19
Q

SE include rash, nausea and dyspepsia

A

methenamine

also:
rare - Elevated LFTs

20
Q

rare SE includes elevated LFTs

A

methenamine

21
Q

what should be considered in women who have 3+ UTIs in a 12 month period?

A

pharm preventative measures with Coitus

can take:
bactrim/trimethoprim
cephalexin
methenamine
nitrofurantoin

22
Q

presents with fever, chills, NVD and flank pain

A

pyelonephritis

also included:
irritative voiding, suprapubic pain, +/- gross hematuria

23
Q

tachycardia and fever suggests what diagnosis

A

acute pyelonephritis

also see:
CVA tenderness

24
Q

CVA tenderness suggests what dx

A

acute pyelonephritis

also see:
tachycardia
fever

25
Q

labs show leukocytosis with left shift, WBC casts and bacteriuria

A

acute pyelonephritis

also see:
hematuria
pyuria
urine culture +
maybe + blood culutre

26
Q

treat w/ levo, cipro, bactrim or augmentin outpatient

A

acute pyelonephritis

27
Q

DO NOT USE nitrofurantoin or oral fosfomycin

A

acute pyelonephritis

28
Q

ceftriaxone, pip/taz, amp/gent, flouroquinolones are all treatment options for what

A

inpatient acute pyelonephritis with NO risk factors for MDR G- bacteria

29
Q

adding on vanc, linezolid or daptomycin is treatment protocol for what

A

inpatient acute pyelonephritis with risk factors for MDR gram POSITIVE bacteria

30
Q

imipenem, meropenem, or doripenem are used in treatment of what

A

inpatient acute pyelonephritis with 1+ risk factors of MDR G NEGATIVE bacteria

31
Q

IV cephalosporin + BL inhibitor is used in the treatment of what

A

inpatient acute pyelonephritis with 1+ risk factors of MDR G NEGATIVE bacteria that is HIGH RESISTANCE

32
Q

urethral discharge with pain/pruritus at urethral meatus and irritative voiding is seen in what

A

acute urethritis

33
Q

UA showing WBC esterase, pyuria and hematuria

A

acute urethritis

Clin med A 2 (30 decks)

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