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10 Cards in this Set
- Front
- Back
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what are common symptoms of upper UTI (upper involves which structures?). distinguish between lower UTI
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Upper: fever, chills, flank pain. Upper UTI involves kidney,pelvis, ureters.
Lower: dysuria, frequent urination (> q 2 h), urgency, cloudy urine. generally no systemic symptoms. Lower involves bladder |
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Unresolved bacteriuria vs. Recurrent UTI
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Unresolved bacteriuria occurs when the original bacteria is not eradicated completely and the UTI persists.
Recurrent UTI is a reinfection caused by a second pathogen in a person whose previous infection was successfully eradicated. |
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Empying Sx of LUT
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Weak stream; hesitancy (difficulty starting); intermittancy; postvoid dribbling; urinary retention
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Storage Sx of LUT
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frequency (> 8 x per 24 hrs); urgency; incontinence; nocturia (> 2 x at night); nocturnal eneresis
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name normal defense mechanisms that prevent UTIs
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normal voiding with complete empyting of bladder; ureterovesical junction competence with peristasis toward the bladder; urine is pH < 6.0; high urea and glycoproteins in urine.
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Normal pH of urine
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< 6.0
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Normal pH of vagina
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3.5 - 4.5
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How does sexual intercourse promote UTI?
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"milking" of bacteria from vagina and perineum and may cause minor urethral trauma.
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Duration of antibiotic course for uncomplicated UTIs?
Empirical antibiotic? |
short course - 1 - 3 days
1. Trimethorprim/ sulfamethoxazole (TMP/SMX) (neg): E.coli is developing resistance 2. Nitrofurantoin (neg): long-term use can cause pulmonary fibrosis and neuropathy 3. Fluoroquinolones (Cipro, levaquin) |
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Duration of antibiotic course for complicated UTIs?
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1 - 2 weeks plus
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