week 12 Flashcards
UTi symtoms in the neonates
fever, poor feeding, vomiting, irritability, jaundice, failure to thrive
UTI symtoms- when do foul smelling urine appear
2 months -2 years
mid-stream, clean catch specimin can be obtained from who?
child who are toilet trained
obtaining an infant/small child specimin urine culture
suprapubic tap or urethral cath
false postives for UTI come from what?
bag
Dx UTI 2-24mo
50,000 colony forming units from a properly collected specimen
Dx UTI 0-2 mo
10,000- 50,000 colony forming units
when should you do an ultrasound?
why?
routine ultrasound of the urinary tract after a first febrile UTI in children aged 2-24
want to make sure there is nothing structurally wrong with the child.
length of time for abx for UTI
7-10 days even if uncomplicated
most common bug casuing UTI
e coli - 50% is resistant to amox and amp
UTI abx choices
cephalosporins
- cephalexin
- cefixime
enuresis defined
involuntary passing of urine for greater than 1 month in a child older than 5 years old
primary enuresis vs secondary- which is more common?
primary- has NEVER had a period of dryness
Secondary- after a child has been dry for greater than 6 months
MOST is primary and nocturnal
when to start treatment for enuresis
6-7 years
clamidia test
NAAD swab or urine sample
1st line of chlamidia
doxycycline
re-test for chalmidia
3 months after tx
treat any chamlidia positive partners from the past how many days
60
gonorrea test
NAAT
first line tx for gonorrhea
500 mg ceftriaxone IM
retest gonorrhea
3 months
trichomoniasis what is it and how to dx
parasite, NAAT
first line tx of trichomoniasis
flagyl (metrinodazole)
syphilis dx and presentation
RPR- painess ucler or chancre
phases of sychilis
primary: painless ulcer
secondary: skin rash, lymphadenopathy
latent: no clinical manifestations
tertiary: psych symtoms
syphilis first line tx
penicillin
HSV 1 and 2
1- oral
2- sexual
dx of HSV
swab of vesicle- PCR
tx of HSV
acyclovir
or
valacyclovir
HIV dx
serologic antigen
Mgen dx
NAAT test
what is balanitis
inflammation of the penis glands
causes of balanitis
poor hygeine, uncircumcised, drug allergies (tetracyclines), chemical irritiants, morbidly obese
PE of balentitis
erythema and edema of glands and foreskin
with canida: erythemitus papules
labs for balenitis
glucose - if thoughts of being diabetes
STI workup if applicable
potassium hydroxide test for candida
test for candida
potassium hydroxide test also known as a KOH
tx for balanitis
- gentle retraction of foreskin
- bacitracin application not neo
- candida- ZOLE cream
- cellulitis- 1st generation ceph
