UTI

Question 1

TASK

Answer 1

475

Question 2

EX

Answer 2

-you most likely to have a UTI
-likely lower urethra, bladder, ureter/unlikely kidney no fever loin pain
-UTI in a male should be investigated for a cause older male
-calculas
-prostatitis
-bladder polyps, CA
-BPH, CA PROSTATE
-Urethral stricture
-genitourinary tb
younger adults
-sti. FB in bladder

Question 3

mx

Answer 3

-intial culture mid stream urine collection
ANTIBIOTICS
-trimethorpim 300mg/cephelexin 500mg bd
-urinary alkalisation : sodium citrate 8 hrly 2 weeks
-amoxicillin: but not this pt
-drink extra fluids, start today
-when results ready
-early review if no response
-r/v with repeat microscopy and culture after completion antibiotic therapy

Question 4

further mx

Answer 4

-uss kideny, ureter, bladder
-CT abdomen and pelvis
-PSA
-serum urea and electrolytes
-referral urologist: cystoscopy, voiding cystourethrogram