WOMENS HEALTH cystitis Flashcards
cystitis?
is the inflammation of the bladder
most common causes of dysuria
is acute uncomplicated cystitis.
the likely cause of dysuria
pyelonephritis
the unlikely cause of dysuria.
sti and oestrogen deficiency
once a patient comes to your pharmacy to say that they are suffering from dysuria
help to confirm that it is not pyelonephritis
what are the symptoms of cystitis.
8
dysuria frequency urgency nocturia changes in urine appearance passing small amounts of urine (OPTIONAL) acute vaginal discharge (optional)
refer when you notice _____________
haematuria
refer when you notice _____________
6
haematuria
cystitis is unusual in children less than 16 years old. women older than 70 would need to be referred.
longer than 5-7 days should be referred to avoid pyelonephritis
referral is needed if there is fever associated with symptoms, because it might be pyelonephritis
if the patient reports vaginal discharge, likely an infection and they need to be referred
loin pain will need to be referred because of possible pyelonephritis.
diabetic?
questions to for cystitis
12
age?
duration?
associated symptom?
presence of fever?
have you had it before?
what did you take for it?
discharge?
Blood in urine?
pmx?
dx?
fmx?
treatment of cystitis?
potassium citrate but monitor if they are taking ace inhibitors, k+ sparring, and spironolactones
sodium citrate but monitor if patient has heart disease, hypertension or renal impairment.
give pain relief before they are referred.
WHY ASK THE QUESTION THAT YOU ARE ASKING?
age?
LOCATION?
duration?
associated symptom?
presence of fever?
have you had it before?
what did you take for it?
discharge?
Blood in urine?
pmx?
dx?
fmx?
age? cystitis is unusual in children less than 16 years old. women older than 70 would need to be referred.
duration? longer than 5-7 days should be referred to avoid pyelonephritis
associated symptom? nvd indicates pyelonephritis
presence of fever? referral is needed if there is fever associated with symptoms, because it might be pyelonephritis
have you had it before?
what did you take for it?
discharge? if the patient reports vaginal discharge, likely an infection and they need to be referred
Blood in urine? to rule out any complicated ailment
location of pain? loin pain will need to be referred because of possible pyelonephritis.
pmx? if diabetic need to be referred because of sugar in urine can help the bacteria to grow
dx? to check for interaction and monitoring
fmx?