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PHM 604 > UTIs > Flashcards

UTIs Flashcards

1
Q

Signs and Symptoms of Lower UTI

A

Dysuria
increase in frequency/urgency
hematuria

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2
Q

Signs and Symptoms of Upper UTI

A

CVA Tenderness
Fever
Chills
Nausea/Vomitting

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3
Q

What is Lower UTI called?

A

Cystitis

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4
Q

What is Upper UTI called?

A

Pyelonephritis

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5
Q

What might UTI present in the elderly as?

A

Mood and Appetite changes

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6
Q

True or False. In women with overactive bladder, interstitial nephritis with increase urgency may not be bacterial infections

A

True

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7
Q

Uncomplicated UTI

A

Normal urinary tract
Normal voiding

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8
Q

Complicated UTI

A

Recurrence
SIRS/Sepsis
Extensive ABx Resistance
Immunosuppresion
Catheters
Male UTIs

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9
Q

How do you diagnose UTI?

A

Urinalysis

***also gram stain and culture

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10
Q

Urinalysis lab findings

A

pyuria >10 WBC
leukocyte
nitrite
hematuria
proteinuria (kidney dysfunction)
bacteuria

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11
Q

Most common bacteria in UTI

A

E. Coli

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12
Q

Significant Bacteuria

A

GNR: Trad >10^5
:Women >10^2
:Men > 10^3

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13
Q

Clinical UTI

A

Significant bacteuria + pyuria (+s/s)

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14
Q

How to treat acute uncomplicated cystitis?

A

Nitrofurantoin monohydrate x5 days
TMP/SMX x3 days

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15
Q

How to treat Acute Pyelonephritis (OutPt)?

A

TMP/SMX x14 days
Levofloxacin 750mg x5 days (sulfa allergy)

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16
Q

How to treat Acute Pyelonephritis (InPt)?

A

Extended-spectrum cephalosporin(1-3 gen)
OR
Penicillin +/- Aminoglycoside
x10-14 days

***IV

17
Q

Should you treat Asymptomatic Bacteriuria?

A

No. Except in:
- Pregnancy
- Prior to renal transplant
- Prior to invasive urinary tract procedure

18
Q

How to treat asymptomatic bacteriuria in pregnancy?

A

Amoxicillin/Clavulanate x7 days
Cephalexin x3 days

19
Q

What Antimicrobials are contraindicated in pregnancy?

A

Quinolones and Tetracyclines

20
Q

What Antimicrobials should you use in pregnancy?

A

Iv B-Lactams (Ceftriaxone/Cefazolin)

21
Q

True or False. Cystitis is rare in young men and typical in elderly men.

A

True

22
Q

Therapy for UTI in males (Prostitis)

A

Acute:TMP/SMX 2 - 4 weeks
Chronic: TMP/SMX 4 - 6 weeks

PHM 604 (11 decks)

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