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MICRO5
Diseases of the GU Tract and Gonorrhoeae
| Question | Answer |
|---|---|
| What contaminates the nromally sterile urine? | skin/fecal flora |
| What is a bacteria that is in the normal flora of the vagina of womeN? | Lactobacillus |
| What is an important vaginal flora of men? | Skin flora |
| Cystitis is an infection of? | Urinary bladder |
| Pyelonephritis is an infection of that can potentailly lead to? | The kidneys that can lead to sepsis |
| What is the order of inection in ascending infections? | Urethritis-->cystis-->ureteritis-->nephritis |
| What is the dipstick method capable of screening for? | Leukocyte esterase (neutrophil) and nitrits (E-coli tester) |
| What bacteria is the number one cause of urethritis due to coliforms? | E-coli |
| What are sympoms associated with it? | Painful urination, cloudy/pink urine |
| How would you acquire it? | nasocomial through catherterization, community acquired: both through fecal contamination |
| Why are women more likely to get urinary tract infections? | Short urethra-->easy to contaminate with fecal matter |
| Would you treat with AB? Why? | Common Ab resistance |
| What is a second most common cause of urethrtis? | Enterocci |
| What is it strongly acquired by? | Nosocomial infections |
| What would it look like if you cultured it on blood agar? | Non-hemolytic, catalase -- |
| Would you treat it w/ Ab? | NO, from dirt |
| What is the most common cause of cystitis? | E-coli |
| What are some associated sympoms? | Dysuria: when you feel like you have to go, but it hurts and you can't go |
| What would be associated with dysuria? | Coag -- Staph epidermidis |
| How can women prevent this? | Drink water so you urinate and clear vaginal tract |
| What are sympoms associated with pyelonephritis and what organisms causes htis/ | E-coli causes this: sympoms like back pain, scar tissue-->impair kidney |
| How would you diagnose it? | supra pubic |
| Treat with? | Very serious, so IV Ab |
| What is another cause of nephritis? | Leptospirosis interrogans |
| What is their shape? | Spirochete |
| Sympoms? | None usually, but WEIL's Kidney disease-->also septic (in CSF) |
| What does it have an impact upon and in which phase? | liver, bleeding lung during immune phase |
| How does it enter? | contaminated urine (through soil) in wound (NOT URETHRA) |
| What must you be concerned with regarding treatments? | What several serotypes exist |
| Who does it usually affect? | People who work with waste |
| Jenny got a certian serotype and was treated. Her roommate got teh same serotype. What should Jenny? | She shouldn't worry cause she is immune now! |
| Gram stain and shape neisseria gonorrhoeae? | Gram negative diplococci in pairs |
| What are sympoms associated with it? | Pyogenic coccus (PUS forms) |
| Who is most likely to get treatment for this condition? men or women and why? | Women just don't have sympoms, so they won't know they have it, but men have sympoms, so they'll get treatment |
| What are some sympoms? | painful urination and purulent (pussy) discharge |
| So if women go untreated, why wuold you be concerned? | they are carriers, can infect others, and it can ascendi to their pelvis (PID)-->sterilily (salpingitis) |
| Is it an STD? | Yes |
| How do you diagnose it? | If you see PMN in urine (definisitve indicator) |
| How do you treat itr? | Well, good luck with Ab because resistance is increasing |