week 12 Flashcards

1
Q

UTi symtoms in the neonates

A

fever, poor feeding, vomiting, irritability, jaundice, failure to thrive

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2
Q

UTI symtoms- when do foul smelling urine appear

A

2 months -2 years

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3
Q

mid-stream, clean catch specimin can be obtained from who?

A

child who are toilet trained

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4
Q

obtaining an infant/small child specimin urine culture

A

suprapubic tap or urethral cath

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5
Q

false postives for UTI come from what?

A

bag

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6
Q

Dx UTI 2-24mo

A

50,000 colony forming units from a properly collected specimen

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7
Q

Dx UTI 0-2 mo

A

10,000- 50,000 colony forming units

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8
Q

when should you do an ultrasound?

why?

A

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.

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9
Q

length of time for abx for UTI

A

7-10 days even if uncomplicated

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10
Q

most common bug casuing UTI

A

e coli - 50% is resistant to amox and amp

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10
Q
A
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11
Q

UTI abx choices

A

cephalosporins
- cephalexin
- cefixime

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12
Q

enuresis defined

A

involuntary passing of urine for greater than 1 month in a child older than 5 years old

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13
Q

primary enuresis vs secondary- which is more common?

A

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

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14
Q

when to start treatment for enuresis

A

6-7 years

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15
Q

clamidia test

A

NAAD swab or urine sample

16
Q

1st line of chlamidia

A

doxycycline

17
Q

re-test for chalmidia

A

3 months after tx

18
Q

treat any chamlidia positive partners from the past how many days

A

60

19
Q

gonorrea test

A

NAAT

20
Q

first line tx for gonorrhea

A

500 mg ceftriaxone IM

21
Q

retest gonorrhea

A

3 months

22
Q

trichomoniasis what is it and how to dx

A

parasite, NAAT

23
Q

first line tx of trichomoniasis

A

flagyl (metrinodazole)

24
Q

syphilis dx and presentation

A

RPR- painess ucler or chancre

25
Q

phases of sychilis

A

primary: painless ulcer
secondary: skin rash, lymphadenopathy
latent: no clinical manifestations
tertiary: psych symtoms

26
Q

syphilis first line tx

A

penicillin

27
Q

HSV 1 and 2

A

1- oral
2- sexual

28
Q

dx of HSV

A

swab of vesicle- PCR

29
Q

tx of HSV

A

acyclovir
or
valacyclovir

30
Q

HIV dx

A

serologic antigen

31
Q

Mgen dx

A

NAAT test

32
Q

what is balanitis

A

inflammation of the penis glands

33
Q
A
34
Q

causes of balanitis

A

poor hygeine, uncircumcised, drug allergies (tetracyclines), chemical irritiants, morbidly obese

35
Q

PE of balentitis

A

erythema and edema of glands and foreskin
with canida: erythemitus papules

36
Q

labs for balenitis

A

glucose - if thoughts of being diabetes
STI workup if applicable
potassium hydroxide test for candida

37
Q

test for candida

A

potassium hydroxide test also known as a KOH

38
Q

tx for balanitis

A
  • gentle retraction of foreskin
  • bacitracin application not neo
  • candida- ZOLE cream
  • cellulitis- 1st generation ceph