UTI Flashcards
1
Q
associatations
A
- vesicoteric reflex
- renal tract abnormalities
- renal scarring due to chronic infections and reflux
2
Q
neonatal presentation
A
- sepsis
- poor feeding
- irritability
- vomiting
- vulvitis (girls)
3
Q
toddler presentation
A
- feverish
- generally unwell
- vomiting
- vulvitis (girls)
4
Q
older presentation
A
- dysuria
- incontinence
- abdominal pain
- vulvitis (girls)
- can be asymptomatic
5
Q
diagnosis
A
- urinalysis (do in all children who are non-specifically unwell or that have UTI symptoms
- assessment of renal tract using ultrasound
6
Q
ultrasound indications
A
- all children under 3months
- during infection if atypical
- up to 6 weeks after otherwise
- all children > 6 months who suffer recurrent infections
7
Q
lower UTI management
A
- under 3 months: IV amoxicillin and gentamicin
- > 3 months: trimethoprim or nitrofurantoin (3 days)
8
Q
upper UTI management
A
IV amoxicillin and gentamicin
