UTI/Pyelonephriti/Sepsis Flashcards
3 requirements for a UTI to be uncomplicated?
- Non pregnant female
- No anatomic abnormalities
- No indwelling Catheter or obstruction, like stones or tumors.
3 predisposing factors for women to get UTIs?
- Spermicide
- Frequent sexual intercourse
- Post menopause recurrence
What 3 factors cause a recurring UTI post menopausal?
- Pre menopausal UTI
- Anatomic abnormality messing with bladder emptying
- Estrogen depletion
What are 2 disposing factors for men getting a UTI?
- Enlarged prostate
. Uncircumcised
What are the 6 differentials we are thinking for a women if they present with dysuria?
- Cystitis
- Cervicitis
- Vaginitis
- Urethritis
- Interstitial Cystitis
- Non infectious vaginal or vulvar irritation
2 pathogens causing cervicitis?
Chlamydia and gon
2 pathogens causing vaginitis?
Candida and trichomonas
What are 5 settings where we are thinking complicated UTI?
- Lady is pregnant
- Anatomic abnormality
- Compression of ureter or bladder
- There is something indwelling like a catheter or stone
- Immunocompromised patient
What is usually a necessary treatment for prostatitis?
4-6 week course of antibiotic
What are the 3 major subtypes of pyelonephritis?
- Papillary necrosis
- Emphysema Pyelonephritis
- Xanthogranulomatous P
What are the 4 causes of Pap necrosis?
Obstruction, DM, analgesic, and sickle cell
What is going on with emphysema pyelonephritis and what patient population are we dealing with?
Production of gas. DM.
2 causes of xantho, how does it destroy renal tissue, and what can it lead to?
Chronic obstruction or infection. Pus destruction. Abscess formation.
2 big things to consider when treating septic shock?
Got to support their hemodynamics. Volume and pressers. Find the source of infection and treat it.
