UTI Flashcards

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1
Q

What is urethritis?

A
  • infection confined to urethra

- caused by STD

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2
Q

Is there fever with cystitis?

A

no

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3
Q

Is there fever with pyelonephritis?

A

yes

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4
Q

(c) Cystitis is regarded as an infection of the bladder, even though the infection may be confined to the ______ in up to one-third of cases.

A

urethra

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5
Q

(c) Cystitis is regarded as an infection of the bladder, even though the infection may be confined to the ______ in up to one-third of cases.

A

urethra

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6
Q

__________ is used when infection is confined to the urethra and is due to a sexually transmitted disease

A

“Urethritis”

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7
Q

How do epithelial cells in the urinary tract protect against infection?

A
  • they can ingest bacteria and contain growth
  • NOT professional phagocytes
  • Can then shed into urine and voided
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8
Q

The ___________ valve prevents ascent of infection from bladder; efficacy compromised by infection.

A

Ureterovesical

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9
Q

Local antibody production terminates pyelonephritis (infection in kidney); probably not operative in _________.

A

bladder

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10
Q

Most strains of E. coli causing pyelonephritis have ________, which adhere to globoseries glycolipid receptors on human cells that resemble P antigen on RBC.

A

P pili

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11
Q

Most strains of E. coli causing pyelonephritis have ________, which adhere to globoseries glycolipid receptors on human cells that resemble P antigen on RBC.

A

P pili

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12
Q

_________, produced by Proteus, Providencia, Morganella alkalinizes urine. Causing precipitation of magnesium ammonium phosphate (called struvite) stones.

A

Urease

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13
Q

As kidney stones form in infected urine, they serve as a nest for bacteria, allowing for ___________.

A

Recurring infection

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14
Q

What causes the incidence of UTI to equal out with age between men and women?

A

-enlarged prostate in older men leads to obstruction and incomplete emptying of the bladder.

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15
Q

____________ in older men leads to obstruction and incomplete emptying of the bladder.

A

enlarged prostate

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16
Q

Women have a greater risk of pyelonephritis during _______.

A

pregnancy

17
Q

The term ‘_______’ describes increased numbers of WBC in urine.

A

pyuria

18
Q

What can cause an increase in white cells in healthy urine?

A

dehydration

19
Q

What can cause an increase in white cells in healthy urine?

A

dehydration

20
Q

What is the ddx of uncomplicated acute UTI in healthy young women?

A
  1. E. coli
  2. S. saprophyticus
  3. Proteus & Klebsiella
21
Q

The finding of Staph aureus in urine suggests ________, and should always be taken very seriously, especially in absence of indwelling urinary catheter

A

bacteremia

22
Q

What is the treatment for uncomplicated acute UTI?

A

Official: Trimethoprim/sulfamethoxazole (bactrim) (3d)

Musher: nitrofurantoin (5d)

23
Q

“WBC casts in urine”

A

Pyelonephritis

24
Q

What is the treatment for pyelonephritis?

A
  • need abx that are highly effective against E. coli
  • 3g cephalosporin
  • Aminoglycoside
25
Q

What is the treatment for pyelonephritis?

A
  • need abx that are highly effective against E. coli
  • 3g cephalosporin
  • Aminoglycoside
  • treat 10-14 days