Shared Flashcard Set

Details

Nephro ICM
UTI & Prostatitis
14
Medical
Graduate
10/31/2010

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Cards

Term
What does the K antigen of bacteria do?
Definition
inhibits phagocytosis by WBCs
Term
What characteristics of the urine make it antibacterial?
Definition
low pH, high osmolarity, high urea content
Term
How do Tamm-Horsfall proteins contribute to host defense of the UT?
Definition
bind bacteria and prevent adherence
Term
What age group has the greatest risk for UTI's?
Definition
>65 y.o.
Term
What are the causitive pathogens of UTI's?
Definition
E coli, S saprophyticus, S aureus, pseudomonas, enterococci, yeast
Term
For what population group is asymptomatic bacteriuria a concern and why?
Definition
pregnant women because it is associated with premature labor
Term
complications of acute uncomplicated pyelonephritis
Definition
perinephric or intrarenal abscess, emphysematous pyelo, obstruction
Term
What population group is most likely to get emphysematous pyelonephritis as a complication of acute uncomplicated pyelo?
Definition
elderly diabetics
Term
How does acute uncomplicated pyelo cause obstruction?
Definition
renal stones, stricture, papp necrosis
Term
Who gets a complicated UTI?
Definition
pregnant women, men, children, men/women w/structural or fxnl abnormalities of urinary tract: obstruction, ^ post-void residual, renal transplatation, DM, PKD, ileal-loop, immunosuppresion
Term
What results from a urine dipstick in a patient with a UTI?
Definition
leukocyte esterase, nitrites
Term
How do you treat acute uncomplicated cystitis? When do you treat for 7-14 days?
Definition
TMP/SMX, fluoroquinolone, amoxicillin, cephalosporin, nitrofuranton treat for 7-14 days if symptoms have been >7 days, recent UTI, pregnant, DM, or age >65
Term
What is the duration of treatment for acute uncomplicated pyelo?
Definition
14 days, or 2-6 weeks for relapse
Term
How do you treat uncomplicated pyelo in inpatient v outpatient?
Definition
inpatient: fluoroquinolone, 3rd gen cephalosporin, penacillin, B lactam inhib
outpatient: fluorquinolone, amoxicillin, cephalosporin
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