Urinary tract infections Flashcards

1
Q

What group experience confusion in a UTI

A

Elderly

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2
Q

Presentation of lower UTI

A
  • dysuria
  • polyuria
  • urgency
  • cloudy smelly urine
  • haematuria
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3
Q

Pain location in lower UTI

A

Suprapubic

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4
Q

Pain location & radiation in upper UTI

A
  • loin, suprapubic (uni/bilateral)

- radiates to back

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5
Q

Renal angle tenderness is seen in what UTI

A

Upper

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6
Q

Presentation of upper UTI

A
  • fever (more important than in LUTI)
  • vomiting
  • loss of appetite
  • haematuria
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7
Q

What type of infection increases the risk of pyelonephritis

A

Haematogenous

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8
Q

Failure of what orifice increases the risk of pyelonephritis

A

Vesicouretral

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9
Q

Commonest 2 bac that cause UTI

A
  • E Coli

- enterobacteria

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10
Q

In a UTI why is there nitrites present in a dipstick

A

Gram -ve (E. coli) breaks down nitrates

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11
Q

Why are leukocytes raised in UTI

A

Inflammation

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12
Q

Microscopy culture is sourced from

A

MSU

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13
Q

HCG is taken to check for

A

Ectopic pregnancy

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14
Q

Nitrites vs leukocytes for UTI diagnosis

A

Nitrites better —> more specific

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15
Q

RFs

A
  • females
  • urinary catheters
  • stones/stasis
  • pregnancy
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16
Q

1st line med for UTI that is also preferred in pregnancy

A

Oral nitrofurantoin

17
Q

Contraindications for oral nitrofurantoin

A
  • giving birth
  • G6PD deficiency
  • elderly + CKD
18
Q

1st line med for UTI that is contraindicated in pregnancy

A

Oral trimethoprim

19
Q

Why is oral trimethoprim avoided in 1st trimester

A

Anti-folate effect

20
Q

Creatinine rise can be seen in what Abx

A

Oral trimethoprim

21
Q

2nd line meds for UTI

A
  • pivmecillinam
  • amoxicillin
  • cefalexin
22
Q

Duration of Abx in simple LUTI women

A

3 days

23
Q

Duration of Abx in women who are immunocompromised/abnormal kidney function

A

5-10 days

24
Q

Duration of Abs in men, preggo, CRUTI

A

7 days

25
Q

4 Abx options for pyelonephritis

A
  • cefalexin
  • co-amoxiclav
  • trimethoprim
  • ciprofloxacin