UTI Flashcards

1
Q

Pyuria

A

WBC within urine

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2
Q

Hematuria

A

RBC within urine

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3
Q

Pollakiuria

A

Frequent urge to urinate

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4
Q

Polyuria

A

Urinates a large amount

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5
Q

Stranguria/dysuria

A

difficulty, straining to urinate

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6
Q

Why do UTI’s develop?

A

Breach in host defense mechanisms that results in multiplication and persistence of a virulent organism

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7
Q

Demographic of animals affected with UTIs?

A

Female dogs more likely (cats less likely and it’s usually older cats with concurrent disease)

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8
Q

Host defenses against UTIs

A
Normal micturition
Anatomic structures 
Mucosal defense
Properties of urine 
Systemic immunocompetence
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9
Q

What are anatomic structures that help against UTIs?

A

urethral peristalsis
renal blood flow
ureteral vescicular valves

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10
Q

Mucosal defenses against UTIs?

A

antibiotic properties, Ab production, surface GAGs

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11
Q

Properties of urine to prevent against UTIs?

A

pH, hyperosmolarity, organic acids, defensins

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12
Q

Clinical signs of UTI

A

Variable but can include stranguria/dysuria, abdominal/kidney pain, pollakuria
external parts in question might be angry looking in appearance

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13
Q

Signs associated with lower UTI

A

stranguria, pollakiuria with gross hematuria at the end of micturition
CBC: normal
Urine: pyuria, hematuria, proteinuria, bactiuria

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14
Q

Signs associated with upper UTI

A

PU/PD, signs of systemic infection
CBC: +/-leukocytosis
Urine: pyuria, hematuria, proteinuria, bactiuria, granular casts

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15
Q

Best method to collect urine

A

cystocentesis (followed by catheterization (sterile prep) and voiding)

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16
Q

Factor not usually accurate on the urine dipstick

A

leukocyte count

17
Q

limitations of urine sed

A

doesn’t always detect bacteria

18
Q

Testing for antimicrobial susceptibility (2 methods)

A

AGID and serial diliution

19
Q

Uncomplicated UTI

A

No structural, neurologic, or functional abnormality identified

20
Q

Complicated UTI

A

Sexually intact
Identifiable predisposing cause
Upper urinary tract infection