Term
| infant presentation with UTI: |
|
Definition
- fever
- vomiting
- anorexia
- failure to thrive
- irritability
- asymptomatic jaundice |
|
|
Term
| Ages 2-5 UTI presentation: |
|
Definition
- fever
- abdominal pain
- enuresis
- may have frequency/urgency |
|
|
Term
| ages 5 and older UTI presentation; |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
- E. coli
- Klebsiella
- Enterococcus |
|
|
Term
|
Definition
- Female, short urethra
- Uncircumscribed males
- Neonates
- Incomplete bladder emptying: neurogenic bladder, constipation, dysfunctional voiding
- Poor hygiene
- Sexual activity
- Catheterization
- Structural abnormalities of urinary tract (posterior urthral valves, vesicourethral reflux (VUR)) |
|
|
Term
| child with UTI before age 6: |
|
Definition
| - has 20-40% chance of VUR |
|
|
Term
| Neurogenic bladder is associated with __ __. PE findings of this include: |
|
Definition
- Spina Bifida
- sacral dimples, pits, sacral fat pad |
|
|
Term
| Birth to 30 days UTI workup: |
|
Definition
- Admit
- UA
- Urine culture
- Blood cutlure
(have to do septic eval in theses pts) |
|
|
Term
| 1 -24 months UTI evaluation: |
|
Definition
| - cath UA or suprapubic aspiration and urine culture |
|
|
Term
|
Definition
| - mid-stream clean catch sample for UA and urine culture |
|
|
Term
|
Definition
culture showing greater than 10 to the fifth colonies/ml of single organism
if cathed specimen, greater than 10 to the second= ifnection |
|
|
Term
|
Definition
- TMP/SMZ
- Cefprozil
- Cefixime
- Amoxicillin |
|
|
Term
| peds uncompliticated UTI treat for : |
|
Definition
|
|
Term
| peds pyelonephritis treat for: |
|
Definition
|
|
Term
| symptoms of glomerularnephritis: |
|
Definition
- hematuria
- edema
- HTN
- oliguria |
|
|
Term
| Dx of Post-Strep Glomerularnephritis: |
|
Definition
- UA: blood, protein, RBC casts
- Elevated ASO titer
- Decreased complement (C3, C4)
- Elevated Cr and BUN |
|
|
Term
| poststreptococcal glomerulnephritis tmt: |
|
Definition
- decrease sodium
- diuretics |
|
|
Term
| With IgA Nephropathy aka Berger's Disease (MC glomerulonephritis world wide), ther is a __ __ __ with minor febrile illness (URI). Possible __ and __. There are IgA deposits in the __ of __. |
|
Definition
- asymptomatic gross hematuria
- htn and edema
- msangium of glomeruli |
|
|
Term
| IgA Nephropathy Berger's Disease Dx: |
|
Definition
- UA: blood and proteinuria < 1gm/day
- Elevated serum IgA
- Elevated BUN and Cr
- Normal complement levels |
|
|
Term
|
Definition
- usually resolves within days- no tmt needed
- HTN or more significant proteinuria present> corticosteroids |
|
|
Term
|
Definition
- Rash
- Arthralgia
- Abdominal pain
- Bloody diarrhea
- Hematuria
- Possible HTN |
|
|
Term
|
Definition
- UA: hematuria, proteinuria < 2 gm/day
- Elevated serum IgA |
|
|
Term
| IgA Nephropathy aka Berger's Disease has proteinuria < 1gm/day whereas HSP has proteinuria < 2 gm/day. |
|
Definition
|
|
Term
|
Definition
| - corticosteroids for renal disease |
|
|
Term
| Hemolytic Uremia Syndrome UA: |
|
Definition
- Proteinuria
- Anemia
- Thrombocytopenia
- Elevated bilirubin |
|
|
Term
|
Definition
- prodrome of abdominal pain, diarrhea, and vomiting
- followed by HTN, edema, oliguria, and GI bleeding |
|
|
Term
|
Definition
- supporitve
- maintain fliuds/electrolyes
- control HTN
- transfusion if necessary |
|
|
Term
|
Definition
- monitor renal function 1-2 years
- monitor blood pressure 5 years |
|
|
Term
| patient education with HUS: |
|
Definition
- avoid eating raw/undercooked meats
- educate about proper tmt of drinking water
- discuss proper hygiene |
|
|
Term
| Asymptomatic isolated microscopic hematuria in peds what do you do? |
|
Definition
- first make sure its blood with microscopy
- second have pt repeat UA in one week, if still abnml> further eval |
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