Ace the Test
Cystitis - 🧠 ANSWER ✔✔- Females > Males
- MCC etiology is E. coli
- Suprapubic pain, dysuria, frequency, urgency
- NO discharge or fever
- Dipstick reveals leukocytes, nitrites, and/or blood
- *Nitrates* are the most specific marker for infection
- Treat uncomplicated w/ bactrim
- Treat complicated w/ fluoroquinolones
, Pyelonephritis - 🧠 ANSWER ✔✔- Continuation of cystitis
- Cystitis + *fever*, chills, flank pain, and *CVA tenderness*
- Dipstick reveals leukocytes, nitrites, and/or blood
- Urinalysis reveals *WBC casts*
- Treat w/ fluoroquinolones
- Cipro or levofloxacin empirically
Glomerulonephritis - 🧠 ANSWER ✔✔- MCC is IgA that presents as
hematuria 1-2 days after URI
- Urine analysis reveals hematuria, dysmorphic RBCs, RBC casts, and
proteinuria
- Decreased GFR and increased creatinine
- Can lead to HTN and edema
- Treat w/ loop diuretics, ACEs, and/or steroids
Nephrolithiasis - 🧠 ANSWER ✔✔- Calcium oxalate: most common
- Struvite: staghorn calculi, urease producing bacteria
- Uric acid: radiolUcent on xray, gout