upper/lower urinary tract (q21, 6questions!)

Question 1

pyelonephritis s/s

Answer 1

FEVER
flank pain
shaking chills
irritative voiding 
\+ urine culture
ascends from lower urinary tract

Question 2

pyelonephritis lab findings

Answer 2

leukocytosis w/ left shift

pyuria on UA (puss in urine), bacteriuria, hematuria, white cells

Question 3

pyelo tx

Answer 3

outpatient: quinolones (cipro x21days)

Question 4

urethritis s/s

Answer 4

• NO FEVER/FLANK PAIN
• pain/irritation on urination
• NO freq/urge
• purulent or mucopurulent discharge from urethra
• gonorrhea or clamydia

Question 5

urethritis lab findings

Answer 5

> 4 WBCs

gram - diplococci on gram stain (gonoccocal)

Question 6

urethritis tx

Answer 6

IM cephtriaxone + azithro/doxy

Question 7

acute cystitis s/s

Answer 7

• NO FEVER/FLANK PAIN
• irritative voiding symptoms
• +urine culture
• suprapubic tenderness
• hematuria

Question 8

def of recurrent cystitis

Answer 8

> 3/year

Question 9

lab findings in acute cystitis?

Answer 9

UA: pyuria, bacteriuria, hematuria

urine culture positive

Question 10

tx for uncomplicated cystitis?

Answer 10

cipro 1-3 days

nitrofurantoin if pregnant

Question 11

tx for recurrent cystitis?

Answer 11

prophylaxis:
TMP/SMX
keflex

Question 12

interstitial cystitis s/s

Answer 12

• NO FEVER
• pain with full bladder
• irritative voiding s/s (urgency, frequency, nocturia)
• dx of exclusion!

Question 13

interstitial cystitis lab findings

Answer 13

NEG UA

NEG URINE CULTURE

Question 14

tx for interstitial cystitis

Answer 14

amitriptyline (SSRI)

nifedipine or other Ca channel blockers