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