NURS 620 Maryville Examn 3 I most recent
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What are potential causes of chronic infection/UTI? -obstructions
-antibiotic-resistant bacteria----presence of multiple strains of bacteria
What additional HPI questions would you want to ask a -fever
patient with urinary complaints (dyuria, urgency,etc.)? -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? -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
UA
What is the easiest, most noninvasive, and most economical
way to identify UTI and/or other renal problems?
Infection that occurs when the normal sterile condition of the Lower urinary tract infection
urinary tract is invaded by pathogenic bacteria
Name the types of lower urinary tract infections. Urethra:urethritis
Bladder:cystitis
Bladder wall; Intersitital cystitis (IC)
Prostate Gland: Prostatitis
Acute lower urinary tract infections are characterized by what? Onset of UTI in a previously symptom-free individual.
What tests would you order to diagnose lower UTI? UA C&S
What results would make you suspect UTI? -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? -2 or more symptomatic UTIs w/in 6 months
-3 or>within 12 months
When should prophylaxis for recurrent UTI be intiated? After previous UTI resolution is confirmed
, Antibiotic regimin for recurrent UTI prophylaxis. -Daily dosing for 6 months
-Post-coital prophylaxis
-self medication (3-4 days of therapy when symptoms being
What is the clinical presentation of uncomplicated UTI? -Dysuria
-urinary frequency & urgency
-hematuria
-low back or suprapubic pain/tenderness
-elderly=AMS
WHat is the oral treatment for acute uncomplicated UTI? -Bactrim 1 DS BID x3
-Cefdinir 500 mg BIDx5
-Nitrofurantoin 100 mg BID x 5
Patient education for uncomplicated UTI ·Complete the antibiotic regimen
·Proper hygiene
·Drink plenty of water (8-8oz glasses)
·Cotton undergarments
·Empty bladder after sexual intercourse
·Empty bladder frequently
·No tub baths or bubble baths
Non-cyclic pain of 6 or more months duration that is Chronic Pelvic Pain
localized to the pelvis and is sufficient severity to cause
functional disability
3 most common disorders causing Chronic pelvic pain? Endometriosis
Intersitial cystitis
IBS
Chronic inflammatory condition of the bladder clinically Interstitial cystitis
(IC)characterized by irritable voiding symptoms or urgency and frequency, in the absence of objective
evidence of another disease.
What worsens IC related CPP? Intercouse and perimentrual status.
Pathogenesis of IC Dysfunction of the GAG layer
versionlComprehensive questions and verified
answers/accurate solutions|Already graded A+|Get it 100%
correct.
What are potential causes of chronic infection/UTI? -obstructions
-antibiotic-resistant bacteria----presence of multiple strains of bacteria
What additional HPI questions would you want to ask a -fever
patient with urinary complaints (dyuria, urgency,etc.)? -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? -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
UA
What is the easiest, most noninvasive, and most economical
way to identify UTI and/or other renal problems?
Infection that occurs when the normal sterile condition of the Lower urinary tract infection
urinary tract is invaded by pathogenic bacteria
Name the types of lower urinary tract infections. Urethra:urethritis
Bladder:cystitis
Bladder wall; Intersitital cystitis (IC)
Prostate Gland: Prostatitis
Acute lower urinary tract infections are characterized by what? Onset of UTI in a previously symptom-free individual.
What tests would you order to diagnose lower UTI? UA C&S
What results would make you suspect UTI? -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? -2 or more symptomatic UTIs w/in 6 months
-3 or>within 12 months
When should prophylaxis for recurrent UTI be intiated? After previous UTI resolution is confirmed
, Antibiotic regimin for recurrent UTI prophylaxis. -Daily dosing for 6 months
-Post-coital prophylaxis
-self medication (3-4 days of therapy when symptoms being
What is the clinical presentation of uncomplicated UTI? -Dysuria
-urinary frequency & urgency
-hematuria
-low back or suprapubic pain/tenderness
-elderly=AMS
WHat is the oral treatment for acute uncomplicated UTI? -Bactrim 1 DS BID x3
-Cefdinir 500 mg BIDx5
-Nitrofurantoin 100 mg BID x 5
Patient education for uncomplicated UTI ·Complete the antibiotic regimen
·Proper hygiene
·Drink plenty of water (8-8oz glasses)
·Cotton undergarments
·Empty bladder after sexual intercourse
·Empty bladder frequently
·No tub baths or bubble baths
Non-cyclic pain of 6 or more months duration that is Chronic Pelvic Pain
localized to the pelvis and is sufficient severity to cause
functional disability
3 most common disorders causing Chronic pelvic pain? Endometriosis
Intersitial cystitis
IBS
Chronic inflammatory condition of the bladder clinically Interstitial cystitis
(IC)characterized by irritable voiding symptoms or urgency and frequency, in the absence of objective
evidence of another disease.
What worsens IC related CPP? Intercouse and perimentrual status.
Pathogenesis of IC Dysfunction of the GAG layer
