2
EXAM WITH Q&A A+ SCORE
GUARANTEED
hat are the most common gram-negative causative agents for UTI?
W
E. Coli, klebsiella, enterobacter, proteus mirabilis
hat is the most common gram-positive causative organism for UTI?
W
Staph saprophyticus
ame 5 risk factors for UTI?
N
Recent UTI, recent sexual activity (and not voiding after sex), DM, abnormalities of the
urinary tract, recent abx use, poor hygiene, estrogen deficiency
hat are the common s/s of UTI?
W
dysuria, urgency, cloudy and foul-smelling urine, hematuria, suprapubic tenderness
ow can you distinguish pyelonephritis from a UTI?
H
pyelonephritis will have flank pain, fever, and signs of sepsis
Typically, no fever is present with UTI
hat are the common s/s of pyelonephritis?
W
fever 101.3 or greater, rigors, flank pain, signs of sepsis
hy do pregnant women with UTI (even if asymptomatic) need to be treated?
W
UTIs can induce premature labor
Can elevate BP (preeclampsia)
hat is the most important diagnostic test to run for UTIs?
W
urine sample for c/s
hat do white blood cell casts on UA indicate?
W
pyelonephritis
hen can you treat empirically for pyelonephritis without c/s results?
W
fever over 101.3
, flank pain
pyuria
hematuria
When cultures get back, ensure that they are on the correct abx
hat test can you do in the office for UTI?
W
urine dipstick
hat results from a urine dipstick would indicate infection?
W
nitrates and leukocytes
This may be the only test needed unless you suspect pyelonephritis, they have had a
recent UTI or abx therapy or have been hospitalized recently
hat is your next step in action if a patient presents with dysuria, frequency, and
W
urgency, but the urine dipstick shows no nitrates or leukocytes?
Run a c/s
because some strains of proteus, klebsiella, E. coli, and enterobacter do not produce
nitrates
hich populations ALWAYS need a c/s when you suspect a UTI?
W
Men, pregnant women, recently hospitalized patients, children
hat diagnoses should you consider if you have a patient with pyuria but a negative
W
urine culture?
bladder stone, bladder tumor, interstitial cystitis or bladder obstruction
hat is the imaging of choice to evaluate urinary problems?
W
Sonogram
hen is it recommended to perform a sonogram for urinary issues?
W
Acute pyelitis in a male, acute pyelonephritis in women with fever even after 2 days on
abx, women who have had 4 UTIs in the last year, failure to clear infection after the
course of abx, renal mass
hat is a renal ultrasound used for in pediatrics?
W
to determine if there is an obstruction
hat is the purpose of a voiding cystourethrogram?
W
diagnose vesicoureteral reflux or other structural abnormalities