UTI 1 Flashcards

1
Q

where are UTIs most common

A

kidneys
bladder
urethra
prostate in men

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2
Q

what is a UTI refered to in healthy non pregnant patients

A

uncomplicated

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3
Q

what are complicated UTIs

A

patients with abnormal urinary tract
or
caused by resistant pathogens

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4
Q

what causes upper UTIs

A

acute pyelonephritis or chronic pyelonephritis

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5
Q

what are the most cause of chronic pyelonephritis in young children

A

vesicoureteral reflux

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6
Q

what is cystitis

A

lower tract infection
most common form of UTI
infection of bladder

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7
Q

what lower tract infection is usually associated with STD

A

urethritis

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8
Q

what is a symptomativ bacteremia of urinary tract origin and also most common cause of sepsis

A

urosepsis

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9
Q

what are predisposing factors for women to get cystitis

A

1 shorter urethra

  1. close proximity of rectum to urethra
  2. sexual intercourse
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10
Q

what is the most common predisposing factor for men to get UTIs

A

BPH

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11
Q

what is the pathogenesis of pyelonephritis

A

uropathogens ascend via ureters to the kidneys

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12
Q

what is organism isresponsible for most cases of pyelonephritis?
what structure helps them ascend to kidney

A

E. coli

type P fimbriae

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13
Q

what gram + organism often causes UTIs in young females

A

Staph. saprophyticus

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14
Q

what normal flora are common contaminants for UTIs in the urethra

A

strep.

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15
Q

what organism causes community acquired UTI in sexually active women

A

S. saprophyticus (coag - staph)

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16
Q

what often indicates hematogenous spread of infection to the kidney

A

S. aureus bacteruria

17
Q

what are the clinical features of lower tract infections (cystitis)

A
dysuria (painful or difficult urine)
frequency
urgency
suprapubic pain
hematuria
18
Q

what are the clinical features of upper UTIs (pyelonephritis)

A

fever
flank pain
costovertebral angle tenderness (CVA)
n/v