Renal- Clin Med 3
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| Etiology for Cystitis | E. Coli, Proteus, Klebsiella, Pseudomonas, Staph Saporphyticus, Staph Aureus, Enterococcus
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| Risk Factors for Cystitis | Gender, Pregnancy, Obstruction, Neuro dysfunction
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| Physical Findings for Cystitis | Unremarkable, suprapubic tenterness, urethral discharge
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| Typical history for Cystitis patient | Sudden onset, DYSURIA, recent sex, stinky pee (STD)
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| Lab results for Cystitis | Cloudy, odorous urine. positive for blood, leukocyte esterase, and nitrates
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| Treatment for Acute Uncomplicated Cystitis | Bactrim 1 tablet x3d;
Cipro 250mg q12h x3d
Fluids, sitz bath
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| Treatment for Acute Complicated Cystitis | Mild: Cipro 250mg q12h x10-14d;
Urosepsis: HOSPITAL, IV amp/gent
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| Etiology of Urethritis | C. Trachomatis, N. gonorrhea, HSV
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| S/S of Urethritis | INTERNAL DYSURIA, urgency, frequency, no suprapubic tenderness
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| 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
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| Differential for urethritis. Make sure you rule out.... | Trichomonas...it would be green and frothy
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| Treatment for Urethritis | Ceftriaxone 250mg IM once; Doxycycline 100mg x10d or Azithro 1g once; Acyclovir (if vesicles present)
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| Pyelonephritis | Infection of the kidney parenchyma and renal pelvis
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| Etiology of pyelonephritis | E.coli, Proteus, Pseudomonas
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| Risk factors for pyelonephritis | Urinary obstruction, spina bifida, neuropathy,childhood uti's
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| Presentation of pyelonephritis | sudden onset, toxic appearing, flank pain:CVA TENDERNESS!!
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| Diagnosis and labs of pyelonephritis. CBC shows___, UA shows___ | leukocytosis with a left shift; WBC Casts **Hallmark
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| Treatment for uncomplicated pyelonephritis | Oral quinolone 7-14d; IV Ceftriaxone & Oral Bactrim 14d
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| Treatment for complicated pyelonephritis | HOSPITALIZATION; parental quinolone, ceftriaxone, amp/gent
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| Etiology of bacterial prostatitis | E.coli
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| Presentation of prostatitis | Sudden onset, toxic appearing, perineal pain, dysuria, SWOLLEN TENDER BOGGY PROSTATE
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| Lab results for prostatits | UA-pyuria; culture-e.coli; do amplified dna test for chlamydia/GC
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| Physical Exam for acute prostatitis. DO NOT... | MASSAGE PROSTATE
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| Treatement for acute prostatitis | HOSPITALIZATION; IV Flourquinoline, follow with oral ofloxacin x14d; Ceftriaxone 250mg IM, then doxy 100mg bid x14d
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| Etiology for Epididymitis Age 35 and younger:_____ Age 35 and older:_____ | Chlamydia/GC; E.Coli
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| Clinical manifestation of epididymitis | Fever, chills, scrotal mass, swollen tender epididymitis; Phren's sign; Cremasteric Reflex
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| Lab results for Epididymitis | UA-Pyuria, bacteriuria; Cultures-GC/Chlamydia
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| Treatment for Epididymitis | Chlamydia/GC: Ceftriaxone 250mg IM, Doxy 100mg bid x10d; Ecoli: Ciprofoxacin 500mg bid x10d
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