Term
|
Definition
lower tract symptoms
often none
fever
flak pain/cva tenderness
nausea and vomiting |
|
|
Term
|
Definition
dysuria, frequency, urgency
suprapubic pain
cloudy/malodorous urine |
|
|
Term
|
Definition
CLINICAL ALONE
CLINICAL AND ua (LEUKOCYTE ESTERASE/NITRATE TO NITRITE)
CULTURE |
|
|
Term
| 23 Y.O FEMALE WITH URINARY FREQUENCY AND DYSURIA. nO FEVER CHILL SOR BACKPAIN. |
|
Definition
|
|
Term
| TX UNCOMPLICATED CYSTITIS |
|
Definition
3 DAYS OF QUINILONES
5 DAYS OF NITROFURANTOIN
FOSFOMYCIN
CEPODOXIME
nOTE ECOLI IS BECOMING RESISTANT TO TMP/SMZ
AMPICILLIN HAS RESISTANCE |
|
|
Term
| TX UNCOMPLICATED PYLONEPHRITIS |
|
Definition
CIPRO 7 DAYS IS BETTER THAN 14 DAYS TMP/SMZ IN EFFICACY AND ADVERSE EFFECTS
REMEMBER CIPRO IS FLUROQUINOLONE |
|
|
Term
| WHEN DO YOU DO A UROLOGIC EVAL IN RECURRENT CYSTITIS? |
|
Definition
RELAPSING INFECTION
HISTORY OF STONES, ALKALINE URINE, PROTEUS
RECURRENT PYELONEPHRITIS
ESTABLISHID POLYMICROBIAL BACTERIURIA/PNEUMORIA |
|
|
Term
FEVER
BACK PAIN
ALKALINE URINE |
|
Definition
| PROTEUS MIRABALIS, AND MORGANELLA AND PROVIDENCIA ARE UREA SPLITTERS. |
|
|
Term
|
Definition
| MORGANELLA AND PROVIDENCAI |
|
|
Term
|
Definition
| MUST ID AND REMOVE STONES |
|
|
Term
| WHAT ASYMPTOMATIC PATIENTS DO YOU TREAT? |
|
Definition
PREGNANCY
UTI
IMPENDING UROLOGIC INSTUMENTATION
IMMUNOSUPRESSION (LESS THAN 3 MONTHS POST RENAL TRANSPLANT ANC<500) |
|
|
Term
| WHO ARE COMPLICATED PATIENTS? |
|
Definition
| DIABETICS, SPINAL CORD INJURY, UROLOGIC ABDNORMALITIES, MEN, SEPSIS, IMMUNE COMPROMISE |
|
|
Term
| WOULD YOU TREAT AN ASYMPTOMATIC CATHETER ASSOCIATED UTI? |
|
Definition
|
|
Term
| WOULD YOU TREAT AN ASYMPTOMATIC DIABETIC UTI? |
|
Definition
|
|
Term
WOULD YOU TREAT AN ASYMPTOMATIC INSTITUTIONALIZED WITH PYURIA UTI?
DO YOU EVEN KNOW WHAT PYURIA IS? |
|
Definition
NO
AND IT'S PUS IN THE URINE, HAS BOTH NEUTROPHILS AND GROWS A CULTURE, OFTEN ASSOCIATED WITH PNEUMONIA IN THE ELDERLY |
|
|
Term
| WHAT RX HAS EQUIVALENT EFFICACY IN 3 DAY TX |
|
Definition
TIMP/SMZ AND QUINOLONES
NOT BETA LACTAMS OR NITROFURNATION (5 DAYS) |
|
|
Term
|
Definition
single dose, less eficatious. more study neded.
good against esbl |
|
|
Term
|
Definition
bid, 3rd generation cephalosporin
expensive... eficacy 98.4 (about tmp/xmz) |
|
|
Term
|
Definition
5 day course...
compliance issues
unreliable agains pyelonephritis
improved gi tolerance with new formulations
>90% of strains susceptible |
|
|
