UTI & Stones Flashcards
Mention indications for imaging in UTI
US if there is 3 repeated episodes of cystitis in female, or 1 in male
……..indicate colovesicakl fistula
Pneumaturia & fecaluria
Common route of infection for acute pyelonephritis is….
Ascending
Mention a CI of DRE
Prostatic abscess
Most common stone is……
Calcium oxalate
DD of loin to groin pain
- Renal/ ureteric colic
- Carbuncle of kidney
- RCC
- Infection
- Hydronephrosis
Screening for stones is by…..
While gold standard for diagnosis is…..
KUB & US
PACT
…..is both diagnostic & therapeutic for lower urinary tract obstruction
Urethral ir suprapubic catheter
……..is more accurate in differentiation between hydronephrosis w/out obstruction & partial obstruction
Diuretic scan
What is the acute management for upper urinary tract obstruction
- By immediate relief of obstruction with correction of post-obstructive diuresis
- LUTO by urethral/suprapubic catheter
- URTO, by JJ stents & nephrostomy tubes
Describe the etiology of postobstructive diuresis
- Physiological due to urea osmotic diuresis
- Pathologic due to impairment of renal salt & water reabsorption
- Iatrogenic due to iv glucose & water