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What are potential causes of chronic infection/UTI? - 🧠 ANSWER ✔✔-
obstructions
,-antibiotic-resistant bacteria ---- presence of multiple strains of bacteria
What additional HPI questions would you want to ask a patient with urinary
complaints (dyuria, urgency, etc.)? - 🧠 ANSWER ✔✔-fever
-N/V
-Pain (abdominal, pelvic, back)
-LMP
-Contraceptive use
-Sexual partners
-hygeine habits
-Vaginal discharge/irritation
-hx of UTIs
What are possible differential diagnosis of dysuria? - 🧠 ANSWER ✔✔-
Usually bladder problem
-UTI
-Pyleonephritis
-STI
,-inflammatory lesions of the prostate, bladder, & urethra
-Bladder tumors
Chronic renal failure
-nephrolitiasis
-vaginitis/prostatitis
-Prolapsed uterus
-pelvic peritonitis
-cancer of cervix or prostate
What is the easiest, most noninvasive, and most economical way to identify
UTI and/or other renal problems? - 🧠 ANSWER ✔✔UA
Infection that occurs when the normal sterile condition of the urinary tract is
invaded by pathogenic bacteria - 🧠 ANSWER ✔✔Lower urinary tract
infection
Name the types of lower urinary tract infections. - 🧠 ANSWER ✔✔Urethra:
urethritis
Bladder: cystitis
Bladder wall; Intersitital cystitis (IC)
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, Prostate Gland: Prostatitis
Acute lower urinary tract infections are characterized by what? - 🧠
ANSWER ✔✔Onset of UTI in a previously symptom-free individual.
What tests would you order to diagnose lower UTI? - 🧠 ANSWER ✔✔UA
C&S
What results would make you suspect UTI? - 🧠 ANSWER ✔✔-cloudy urine
clarity
-positive leukocytes esterase
-positive nitrites (signals gram - organism, may have false -)
-Protein: 1+-4+ (kidney problems)
-Alkaline urine (PH 6.5-8)
-RBCs may be present
Who should receive prophylaxis for recurrent UTI? - 🧠 ANSWER ✔✔-2 or
more symptomatic UTIs w/in 6 months
-3 or > within 12 months
When should prophylaxis for recurrent UTI be intiated? - 🧠 ANSWER
✔✔After previous UTI resolution is confirmed