Met 3B. UTIs.

1. WBC in urine
2. Carcinoma in situ (without pain), TB
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Terms in this set (16)
1. WBC in urine
2. Carcinoma in situ (without pain), TB
What is pyuria. What could this indicate in isolation.
1. WBC
2. Possibly nitrites (Gram -ve bacteria have choliforms that convert nitrates to nitrites)
3. Blood
4. Protein
What would you see on a urine dipstick with a UTI
Always ascend
Do UTIs ascend or descend
1. UTI that has another insult such as a renal stone
2. Anatomical reason
3. Augmentin (amoxiclav)
4. Uncomplicated then trimethroprim (standard Tx)
What is a complicated UTI. What would you treat with.
Escherida Coli (over 50%)
What is the most common bacteria that causes UTI
2 types: same bug = persistent. Different bug = re-infection. Rate is 2<6mo or 3<12mo.
What is a recurrent UTI
UTI that are over 6months apart
What is an isolated UTI
Inadequate treatment or a resistant bug
What is an unresolved UTI
1. Cystitis
2. Small voids, frequent, discomfort suprapubic, dysuria, haematuria
What is a LUTI
1. Pyelonephritis
2. Flank, loin pain, N&V, fevers/chills
3. Associated LUT signs as all ascend
What is an UUTI
CarcinomaIf there was haematuria without pain, what would you suspectA LUTI - cystitisPatient has suprapubic discomfort, dysuria, small voids and some haematuria. What type of UTI is this.1. UUTI - pyelonephritis (that may have originated from a LUTI as all ascend) 2. Triad of pyelonephritis: loin/flank pain, rigors/sweaty/clammy/pale, N&V 3. Treat aggressivley as risk of AKI 4. IV ABx may be necessaryPatient complains of flank and loin pain. Also has rigors and a fever. What type of UTI is this.1. Some form of obstruction (stone/stricture) 2. Some form of genitouretero infection Colic due to the squeezing of the smooth muscle that creates a pain that comes and goes. Main differential is between renal colic (cannot get into a comfortable position) and some form of peritonitis (wants to lie completely still - not move at all eg appendicitis)What does colicky pain indicate1. Hydronephrosis 2. Pyelonephritis 3. Permanent renal damageWhat long term complications can arise from recurrent (persistent or re-infection) UTIs1. Upper as it has ascended to give pyelonephritis 2. This can cause AKI 3. Also, if long term, damage due to hyrdonephrosis which will lead to scarring / fibrosisingWhich type of UTI do you treat aggressively UUTI LUTI