Pod Uti Quick & Dirty Review

Front 1

Explain Uncomplicated Vs Complicated UTI's

Back 1

Uncomplicated are typically in women only, cystitis or pyelonepritis, anatomically and functionally normal, resolves w/ normal treatment w/o long term renal disfunction even if recurrent.
Complicated would be strx or fx abnormal, antibiotic resistant, my require longer therapy or surgery, and may effect long term renal fx.

Front 2

A clinical syndrome, due to a UTI that has severe infection or systemic manifestations.

Back 2

Urosepsis

Front 3

Are UTI's more common in male or female neonates?
Does circumcision increase or decrease the likelihood of a UTI?
In kids and adults UTI's are more common in males or females?

Back 3

Male
Decrease
Females

Front 4

Which of the following is not a risk factor for UTI's?
Prior UTI/Family Hx
2 week of menstrual cycle
Blood group nonsecretor (SGG and DSGG)
Vesicoureteral reflux
#&Frequency of sexual partners
Spermicide
Oral contraceptives
Diaphram
Voiding/Hygiene practices

Back 4

Voiding/Hygiene practices

Front 5

Who are the typical culprits of a UTI?

Back 5

Gram Negatives Uropathogens such as:
Enterobacteriaceae (E.coli, Klebsiella, Enterobacter and Proteus)
Pseudomonas

Front 6

Out of the following, which one is known to have a propensity to form kidney stones, and 'splits urea'?
Enterobacteriaceae (E.coli, Klebsiella, Enterobacter and Proteus)
Pseudomnas

Back 6

Proteus

Front 7

Stap saprophyticus is the minor culprit in UTI in:

Back 7

Young women

Front 8

Enterococci can cause:

Back 8

complicated UTI's

Front 9

What are some key virulence factors in UTI's?

Back 9

P fimbriae - attach
Type 1 fimbriae - are indirectly problematic because the trigger exfoliation, binding and the inflammatory response.

Front 10

Explain pathogenicity-associated islands

Back 10

virulence factors are found together on large segments of DNA and are acquired by horizontal gene transfer.

Front 11

What should be determined if lactobacilli, alpha hemoltic streptococci and anaerobes in urine?

Back 11

Nothing really, they are typically considered to be contaminants unless sign of vaginal fistula is present.

Front 12

Cystitis or Pyelonephritis
Dysuria and suprapubic pressure

Back 12

Cystitis

Front 13

Cystitis or Pyelonephritis
Fever, GI symptoms, costovertebral or flank pain.

Back 13

Pyelonephritis

Front 14

What can be a sign of sepsis, or due to an obstructed urinary catheter?

Back 14

Decreased urinary output

Front 15

Presumtive diagnosis:
Definative diagnosis:

Back 15

Symptoms

Pyuria (of leukocyte esterase)
Bacteriuria (or gram stain or nitrite)

Front 16

Positive culture there should be at least how many of the same organism?
A negative culture usually means?

Back 16

100,000 cfu/mL

Typically an STD

Front 17

Treatment
Simple cystitis

Back 17

Trimeth/Sulf
Trimeth
Fluoroquinolone

for three days

Front 18

Treatment
Simple cystitis in woman over age 40 or diabetic

Back 18

Trimeth/Sulf
Fluoroquinolone

For 7 days

Front 19

Treatment
Uncomplicated Pyelonepritis

Back 19

Trimeth/Sulf
Fluoroquinolone
or 3rd gen cephalosporin

Front 20

Complicated UTI treatment?

Back 20

Treat for 4-6 weeks

Front 21

In Complicated UTI's:
Therapy should be guided by ____ ______, antibiotic course should be 4-6 weeks, oral therapy is usually ________, and you should correct any abnormalities.

Back 21

In Complicated UTI's:
Therapy should be guided by urine culture, antibiotic course should be 4-6 weeks, oral therapy is usually adequate, and you should correct any abnormalities.

Front 22

Patients with a history or clinical findings of renal stones should have:

Back 22

intravenous pyelogram or computer tomography (stone protocol)

Front 23

Definition of asymptomatic bacteriuria,
In women
In men
In catheterized

Back 23

In women: 2 consecutive w/ 100,000 cfu/mL
In men: 1 clean catch and 100,000 cfu/mL
In catheterized: 1 urine specimen w/ 100 cfu/mL

Front 24

Only two groups shoud be screened and treated for asymptomatic bacterimia. Who are they?

Back 24

Pregnant and pre-urologic procedures

Front 25

Why should you treat asymptomatic bacteriuria in pregnant women and before urologic procedures?

Back 25

Reduce risk of pyelonephritis in mom and prematurity in newborn, and decrease risk of post-operative infections.