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Renal- Clin Med 3

QuestionAnswer
Etiology for Cystitis E. Coli, Proteus, Klebsiella, Pseudomonas, Staph Saporphyticus, Staph Aureus, Enterococcus
Risk Factors for Cystitis Gender, Pregnancy, Obstruction, Neuro dysfunction
Physical Findings for Cystitis Unremarkable, suprapubic tenterness, urethral discharge
Typical history for Cystitis patient Sudden onset, DYSURIA, recent sex, stinky pee (STD)
Lab results for Cystitis Cloudy, odorous urine. positive for blood, leukocyte esterase, and nitrates
Treatment for Acute Uncomplicated Cystitis Bactrim 1 tablet x3d; Cipro 250mg q12h x3d Fluids, sitz bath
Treatment for Acute Complicated Cystitis Mild: Cipro 250mg q12h x10-14d; Urosepsis: HOSPITAL, IV amp/gent
Etiology of Urethritis C. Trachomatis, N. gonorrhea, HSV
S/S of Urethritis INTERNAL DYSURIA, urgency, frequency, no suprapubic tenderness
Diagnosis of Urethritis is made via... A UA that shows pyuria, but no organisms; Do a nucleic acid amplification with the UA to r/o Chlamydia and GC
Differential for urethritis. Make sure you rule out.... Trichomonas...it would be green and frothy
Treatment for Urethritis Ceftriaxone 250mg IM once; Doxycycline 100mg x10d or Azithro 1g once; Acyclovir (if vesicles present)
Pyelonephritis Infection of the kidney parenchyma and renal pelvis
Etiology of pyelonephritis E.coli, Proteus, Pseudomonas
Risk factors for pyelonephritis Urinary obstruction, spina bifida, neuropathy,childhood uti's
Presentation of pyelonephritis sudden onset, toxic appearing, flank pain:CVA TENDERNESS!!
Diagnosis and labs of pyelonephritis. CBC shows___, UA shows___ leukocytosis with a left shift; WBC Casts **Hallmark
Treatment for uncomplicated pyelonephritis Oral quinolone 7-14d; IV Ceftriaxone & Oral Bactrim 14d
Treatment for complicated pyelonephritis HOSPITALIZATION; parental quinolone, ceftriaxone, amp/gent
Etiology of bacterial prostatitis E.coli
Presentation of prostatitis Sudden onset, toxic appearing, perineal pain, dysuria, SWOLLEN TENDER BOGGY PROSTATE
Lab results for prostatits UA-pyuria; culture-e.coli; do amplified dna test for chlamydia/GC
Physical Exam for acute prostatitis. DO NOT... MASSAGE PROSTATE
Treatement for acute prostatitis HOSPITALIZATION; IV Flourquinoline, follow with oral ofloxacin x14d; Ceftriaxone 250mg IM, then doxy 100mg bid x14d
Etiology for Epididymitis Age 35 and younger:_____ Age 35 and older:_____ Chlamydia/GC; E.Coli
Clinical manifestation of epididymitis Fever, chills, scrotal mass, swollen tender epididymitis; Phren's sign; Cremasteric Reflex
Lab results for Epididymitis UA-Pyuria, bacteriuria; Cultures-GC/Chlamydia
Treatment for Epididymitis Chlamydia/GC: Ceftriaxone 250mg IM, Doxy 100mg bid x10d; Ecoli: Ciprofoxacin 500mg bid x10d
Created by: Colter
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