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AB 4th Year Surgical Specialties > Urology - Infections > Flashcards

Urology - Infections Flashcards

1
Q

features of pyelonephritis?

A 
flank pain
back pain 
fever
rigors
haematuria
increased frequency 
dysuria 
vomiting
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2
Q

most common cause of pyelonephritis?

A

E coli

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3
Q

what is proteus associated with?

A

stones

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4
Q

what is staph associated with?

A

women of child bearing age

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5
Q

what organisms are associated with rectal contamination?

A

klebsiella

enterocci faecalis

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6
Q

Ix for pyelonephritis?

A

MSSU + Culture

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7
Q

Tx for pyelonephritis?

A

co trimox/co amox

if complicated/urosepsis:
amox + gent (co trimox if pen allergic)

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8
Q

what is the triad of symptoms in interstitial cystitis?

A

frequency
urgency
pelvic pain

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9
Q

what pattern of presentation does interstitial cystitis often follow?

A

exacerbations
remissions
with varying symptoms severity

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10
Q

risk factors for interstitial cystitis?

A 
female
fibromyalgia
SLE
RA
migraine
sexual/domestic abuse
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11
Q

features of interstitial cystitis?

A 
triggers
urgency
frequency
pelvic pain 
nocturia
dysturia
dyspareunia
scrotal/anal pain
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12
Q

Ix for interstitial cystitis?

A 
diagnosis of exclusion
FBC (WCC)
urinalysis
MSSU + culture
cystoscopy
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13
Q

Tx for interstitial cystitis?

A

avoid triggers
physio
bladder retraining

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14
Q

what is prostatitis?

A

inflammation of the prostate

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15
Q

risk factors for prostatitis?

A 
UTI 
recept TURP/surgery 
BPH 
smoking 
alcohol
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16
Q

features of prostatitis?

A 
fever
chills
malaise
urinary symptoms
perineal pain
17
Q

common bacterial causes of prostatitis?

A

e coli
enterococcus
pseudomonas

18
Q

Ix for prostatitis?

A

urinalysis + culture
blood cultures
PR
PSA

19
Q

what would you find on a PR for prostatitis?

A

tender
warm
soft
boggy

20
Q

Tx for prostatitis?

A

ofloxacin/ciprofloxacin

21
Q

what consequence can happen after acute prostatitis?

A

chronic

22
Q

what is fournier’s gangrene?

A

nec fasc around the genitalia

23
Q

features of fournier’s gangrene?

A 
swollen
red
pain
fever
crepitus
loss of pulses
pain out of proportion
24
Q

Ix for fournier’s gangrene?

A

XRAY/US showing gas in tissues

25
Q

Tx for fournier’s gangrene?

A

debride

antibiotics

AB 4th Year Surgical Specialties (16 decks)

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