Term
| spontaneous bacterial peritonitis (SBP) is seen with what? |
|
Definition
| chronic liver disease, and concomitant ascites |
|
|
Term
| What is the most common cause of SBP? |
|
Definition
|
|
Term
| What is the most common clinical feature of SBP? |
|
Definition
| fever, often have hepatic encephalopathy |
|
|
Term
| WBC count of what indicates SBP? |
|
Definition
| >250 cells/mm suggests, >500 cells/mm - specific enough to mandate tx |
|
|
Term
| A serum albumin gradient of what indicates Portal HTN? |
|
Definition
|
|
Term
| 2ndary peritonitis is a complication of what and is caused by what? |
|
Definition
| complication of intra-abdominal disease (bowel perforation) and is usually polymicrobial |
|
|
Term
| intra-abdominal abscesses are a complication of what and how do you treat? |
|
Definition
| complication of surgery/perforation, drain abscess and broad spectrum AB therapy |
|
|
Term
| Which is the most common visceral abscess? |
|
Definition
|
|
Term
| According the lecturer, what are the 4 types of complications for UTIs? |
|
Definition
Persistent, Super infection
Recurrent, Relapse |
|
|
Term
| What is the most prominent organism in uncomplicated and complicated UTIs? |
|
Definition
|
|
Term
| How do >98% of UTI pathogens enter bladder? |
|
Definition
| retrograde-through urethra |
|
|
Term
| What are the 3 typical clinical features of cystitis? |
|
Definition
1) dysuria
2) urinary frequency
3) urgency |
|
|
Term
| What is found with UTIs upon microscopy in almost all cases? |
|
Definition
|
|
Term
| gram stains will be positive if colony count is what? |
|
Definition
|
|
Term
| Renal and perirenal abscesses are often 2ndary to what and are associated with what? |
|
Definition
2ndary to ascending UTI with E. coli
associated with renal calculi and obstruction |
|
|
Term
| > 95% of UTIs are 1 or more pathogens? |
|
Definition
|
|
Term
| What in the urine suggests contamination? |
|
Definition
| squamous epithelial cells |
|
|
Term
| What bacteria count is needed in asymptomatic women to diagnosis a UTI? |
|
Definition
| colony counts of >10^5 on tow occasions |
|
|
Term
| if symptoms of cystitis exist, what colony counts are needed in women and men for diagnosis? |
|
Definition
women - >10^2 colonies
men - >10^^3 colonies |
|
|
Term
| What should be used from treatment of uncomplicated UTIs and for how long? |
|
Definition
| bactrim, fluroquinolones for 3 days, 7 days if recurrent, symptoms >7 days, or DM |
|
|
Term
| preventative therapy for UTIs are indicated when? |
|
Definition
| 3 or more infections within 1 year |
|
|
Term
| Which drugs are safe during pregnancy for UTIs? |
|
Definition
| sulfonamides (avoid near term -kernicterus), nitrofurantin, ampicillin, and cephlasporins |
|
|
Term
| What treatment is indicated for chronic prostatitis in men? |
|
Definition
| 4-6 weeks of fluroquinolones |
|
|
Term
| What are most nosocomial UTIs related to? |
|
Definition
|
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