Urinary tract infections Flashcards
What group experience confusion in a UTI
Elderly
Presentation of lower UTI
- dysuria
- polyuria
- urgency
- cloudy smelly urine
- haematuria
Pain location in lower UTI
Suprapubic
Pain location & radiation in upper UTI
- loin, suprapubic (uni/bilateral)
- radiates to back
Renal angle tenderness is seen in what UTI
Upper
Presentation of upper UTI
- fever (more important than in LUTI)
- vomiting
- loss of appetite
- haematuria
What type of infection increases the risk of pyelonephritis
Haematogenous
Failure of what orifice increases the risk of pyelonephritis
Vesicouretral
Commonest 2 bac that cause UTI
- E Coli
- enterobacteria
In a UTI why is there nitrites present in a dipstick
Gram -ve (E. coli) breaks down nitrates
Why are leukocytes raised in UTI
Inflammation
Microscopy culture is sourced from
MSU
HCG is taken to check for
Ectopic pregnancy
Nitrites vs leukocytes for UTI diagnosis
Nitrites better —> more specific
RFs
- females
- urinary catheters
- stones/stasis
- pregnancy