Urology - Infections Flashcards
features of pyelonephritis?
flank pain back pain fever rigors haematuria increased frequency dysuria vomiting
most common cause of pyelonephritis?
E coli
what is proteus associated with?
stones
what is staph associated with?
women of child bearing age
what organisms are associated with rectal contamination?
klebsiella
enterocci faecalis
Ix for pyelonephritis?
MSSU + Culture
Tx for pyelonephritis?
co trimox/co amox
if complicated/urosepsis:
amox + gent (co trimox if pen allergic)
what is the triad of symptoms in interstitial cystitis?
frequency
urgency
pelvic pain
what pattern of presentation does interstitial cystitis often follow?
exacerbations
remissions
with varying symptoms severity
risk factors for interstitial cystitis?
female fibromyalgia SLE RA migraine sexual/domestic abuse
features of interstitial cystitis?
triggers urgency frequency pelvic pain nocturia dysturia dyspareunia scrotal/anal pain
Ix for interstitial cystitis?
diagnosis of exclusion FBC (WCC) urinalysis MSSU + culture cystoscopy
Tx for interstitial cystitis?
avoid triggers
physio
bladder retraining
what is prostatitis?
inflammation of the prostate
risk factors for prostatitis?
UTI recept TURP/surgery BPH smoking alcohol
features of prostatitis?
fever chills malaise urinary symptoms perineal pain
common bacterial causes of prostatitis?
e coli
enterococcus
pseudomonas
Ix for prostatitis?
urinalysis + culture
blood cultures
PR
PSA
what would you find on a PR for prostatitis?
tender
warm
soft
boggy
Tx for prostatitis?
ofloxacin/ciprofloxacin
what consequence can happen after acute prostatitis?
chronic
what is fournier’s gangrene?
nec fasc around the genitalia
features of fournier’s gangrene?
swollen red pain fever crepitus loss of pulses pain out of proportion
Ix for fournier’s gangrene?
XRAY/US showing gas in tissues
Tx for fournier’s gangrene?
debride
antibiotics
