and CORRECT Answers
urinary tract infection (UTI) - CORRECT ANSWER- invasion of pathogenic organisms
(commonly bacteria) in the urinary tract, especially the urethra and bladder; symptoms
include dysuria, urinary frequency, and malaise
UTI clinical manifestations - CORRECT ANSWER- LOWER- frequency, smell, urgency,
burning, concentrated, hematuria, super pubic pressure/pain
UPPER- All of the above plus fever, flank pain, and chills
Uncomplicated UTI - CORRECT ANSWER- Occurs in otherwise normal urinary tract .
Affects women
Usually involves only the bladder.
Uti in men is always complicated
cysitis - CORRECT ANSWER- inflammation of the bladder
Causes of uncomplicated UTIs? - CORRECT ANSWER- Sexual intercourse, impaired
voiding, use of spermicides , estrogen defieciency , abx use
Most UTIs are caused by - CORRECT ANSWER- Gram-negative rods from the GI tract. (
ecoli)
Risk factors for UTIs - CORRECT ANSWER- Female gender
Vaginal infections
Bubble baths and vaginal deodorant sprays
Dehydration
Tight-fitting synthetic undergarments
Infrequent voiding
, First trimester of pregnancy
Trauma during delivery
Urinary calculi
Diabetes
Sickle cell trait
Frequent UTIs - CORRECT ANSWER- More than 3x/year or 2 in 6 months
UTI diagnosis confirmed - CORRECT ANSWER- urinalysis
UTI treatment - CORRECT ANSWER- Complicated: Fluoroquinolones are typically the
first-line choice.
Uncomplicated:
Macrodantin 100mg x 5 days
Bactrim DS BID x 3 days
Cipro 250 bid x 3 days
Levaquin 250mg x 3 days
UTI pathogens - CORRECT ANSWER- E. Coli
Enterococcus
Klebsiella
Proteusy
pyelonephritis - CORRECT ANSWER- inflammation of the kidney and renal pelvis
Pyelonephritis treatment - CORRECT ANSWER- outpatient: ciprofloxacin, levaquin, bactrim
ds x 14 days y
inpatient: ampicillin/gentamicin