Question | Answer |
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 |