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MICRO5

Diseases of the GU Tract and Gonorrhoeae

QuestionAnswer
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
Created by: talkglitter2486
 

 



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