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18 Cards in this Set
- Front
- Back
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Symptomatic treatment of dysuria
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Phazopyridine
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SX of acute cystitis
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Dysuria
Frequency Urgency Suprapubic pain Hematuria |
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DX of acute cystitis
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UA shows pyuria
CX usu with 100,000 colonies |
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TX of acute cystitis
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Bactrim or FQ x3 days if uncomplicated, 14 days if complicated
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Complicated acute cystitis
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Everything's complicated in NAPA:
Occurs in: Neuro problem A man Pregnancy Anatomic abnormality |
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The many causes of dysuria
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1. Acute cystitis
2. Pyelonephritis or subclinical pyelonephritis 3. Urethritis 4. Vaginitis 5. Acute prostatitis 6. Chronic prostatitis 7. Malignancy (bladder, prostate) |
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Causes of urethritis
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chlamydia
gonococcal |
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Clues that cause of dysuria is urethritis
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sexual activity
sterile pyuria on UA stuttering dysuria |
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DX urethritis
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DNA amplification (more sensitive and specific than urine culture)
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Causes of vaginitis
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I BACT:
Irritant-induced Blood vessel Atrophic vaginitis Candida Trichomonas |
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Cause of stress incontinence and urge incontinence in post-menopausal women
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urogenital atrophy
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TX of stress incontinence
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ASK:
Alpha agonists Surgery Kegel exercises |
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TX of urge incontinence
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anticholinergics
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SX of acute prostatitis
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Fever
Chills Malaise Myalgia Pelvic pain Cloudy urine + obstructive sx |
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DX acute prostatitis
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History, edematous/tender prostate on exam PLUS urine CX (usu gram neg), +/- high PSA
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TX acute prostatitis
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Bactrim or FQ for gram negs
Ampicillin or Vancomycin for Enterococcus; must treat for 4-6 weeks! |
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SX of chronic prostatitis
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Dysuria
Frequency Lack of sx's of acute prostatitis |
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How long must you treat chronic prostatitis
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6-12 weeks
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