UT infections

Question 1

Clinical featurs of UTI

Answer 1

Dysuria, increased frequency, urgency, abdominal pain, nonspecific symptoms

Question 2

Which group are complications of UTIs most likely to arise in

Answer 2

Elderly, pregnanct women, those with foreign bodies

Question 3

Causes of UTI

Answer 3

Most commonly E.coli, but can beother gram negative bacterias

Question 4

Diagnosis of UTI

Answer 4

Urine dipstick positive for leucocytes and nitrites

Question 5

Treatment of UTI

Answer 5

Nitrofurantoin or trimethoprom. Gentamicin or ciprofloxacin in severe cases

Question 6

Clinical features of pyelonephritis

Answer 6

Fevers, malaise, loin/flank pain, vomiting, tenderness, symptoms of sepsis and LUTI

Question 7

Complications of pyelonephritis

Answer 7

Renal damage, chronic pyelonephritis

Question 8

Which groups of patients is pyelonephritis most likely to cause complications in

Answer 8

Pregnancy, females, diabtics and intrumentation of UT

Question 9

Diagnosis of pyelonephritis

Answer 9

Urine dip positive for nitrites and leucocytes. FBC has raised WCC. U&E’s may show renal failure. Blood cultures. US to look for hydronephros

Question 10

Treatment of pyelonephritis

Answer 10

IV abx in severe cases - ciprofloxacin, quniolone or gentamicin