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Y4 Child Health > UTI > Flashcards

UTI Flashcards

1
Q

What might be the only CF of UTI in kids?

A

Fever

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2
Q

Who has very vague non-specific symptoms, kids or babies?

A

Babies

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3
Q

What are the CF of UTI in BABIES? (6 things)

A
  1. Fever
  2. Lethargy
  3. Irritability
  4. Vomiting
  5. Poor feeding
  6. Urinary frequency
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4
Q

What are the CF of UTI in KIDS? (6 things)

A
  1. Fever
  2. Abd pain (esp suprapubic pain)
  3. Vomiting
  4. Dysuria
  5. Urinary frequency
  6. Incontinence
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5
Q

What CF are needed for a Dx of Acute Pyelonephritis? (2 things)

A
  1. Temp 38+
  2. Loin pain / tenderness
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6
Q

What investigation can you do for sus UTI?

A

Urine dipstick

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7
Q

What are you looking for in Dipstick of sus UTI? (2 things)

A
  1. Nitrites
  2. Leukocytes
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8
Q

Which is more indicative of UTI, Nitrites or Leukocytes?

A

Nitrites

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9
Q

If only Nitrites are present in dipstick, what should you do?

A

Tx as UTI

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10
Q

If only leukocytes are present in dipstick, what should you do?

A

Send urine to microbiology

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11
Q

What should you do for all children under 3 months w fever? (3 things)

A
  1. Immediate IV abx (e.g ceftriaxone)
  2. Full septic screen
  3. Consider lumbar puncture
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12
Q

What should you do for children over 3 months w fever, otherwise well?

A

ORAL abx

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13
Q

What Abx can you use for UTI kids? (4 things)

A
  1. Trimethoprim
  2. Nitrofurantoin
  3. Cefalexin
  4. Amoxicillin
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14
Q

What investigations does NICE recommend you do for Recurrent UTIs in kids? (3 things)

A
  1. US
  2. DMSA scan
  3. Micturating Cystourethrogram (MCUG)
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15
Q

What are the recommendations of NICE for US scans on UTI kids? (3 things)

A
  1. All babies under 6 months w first UTI –> Abd US
  2. Recurrent UTIs –> Abd US within 6 wks
  3. Atypical UTIs –> Abd US during illness
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16
Q

When should you do a DMSA scan for recurrent UTIs?

A

4-6 months after illness to assess for damage

17
Q

What does DMSA scan show you in recurrent UTIs?

A

Scarring in kidney as a result of inf

18
Q

What are you looking for with a Micturating Cystourethrogram (MCUG) for Recurrent UTIs?

A

Vesico-Ureteric Reflux (VUR)

19
Q

Who should you do a Micturating Cystourethrogram (MCUG) on? (4 things)

A
  1. Baby under 6 months w UTI
  2. FHx Vesico-Ureteric Reflux (VUR)
  3. Dilatation of ureter on US
  4. Poor urinary flow
20
Q

What is Vesico-Ureteric Reflux (VUR)?

A

Urine likes to flow from bladder –> bk to ureters

21
Q

What does having Vesico-Ureteric Reflux (VUR) predispose the kid to?

A

Recurrent Upper UTIs –> Renal scarring

22
Q

What are the Mx options for Vesico-Ureteric Reflux (VUR)? (4 things)

A
  1. Avoid constipation
  2. Avoid excessively full bladder
  3. Prophylactic abx
  4. Surgical input from paeds urology

Y4 Child Health (18 decks)

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