type II
type III-a
type III-b
type IV
C. type III-b
CBC reveals leucocytosis with predominance of neutrophils
contrast CT reveals one or more focal wedge-like swollen regions of the kidney parenchyma, sparing the cortex, and demonstrating reduced enhancement rim sign
in children, recurrent acute pyelonephritis might lead to renal scarring
in pregnancy, recurrent acute pyelonephritis might lead to preterm labor
in catheterized individuals, entry of bacteria into the bladder is facilitated by the bacterial glycocalyx biofilm
infection cannot be reliably distinguished from bacteriuria by lab tests
co-trimoxazole is the preferred antibiotic for empiric therapy
symptomatic UTI may be a diagnosis of exclusion
fever, chills, abdominal pain
costovertibral angle tenderness
hypogastric and loin pain
flank pain, dysuria
could be a complication of chronic epididymitis and orchalgia
testicular torsion must be excluded
infected hair follicles and scrotal lacerations are predisposing factors
urethral discharge is not uncommon presentation
infertility
hypogonadotropic hypogonadism
non seminomatous germ cell tumor
chronic orchalgia
foreign-body cystitis due to vesical calculi
Von Brunn`s nests of cystitis cystica and cystitis glandularis
schistosomiasis cystitis
inverted papilloma of the bladder
in pediatrics, adenovirus types 11 and 21 could result in hemorrhagic cystitis
immunosuppressed children are especially susceptible to Cytomegalovirus and Adenoviruses 7, 21, and 35
in pediatrics, acute viral cystitis might present as acute retention of urine
classically, treatment should be culture-specific
are premalignant, and found in 1-6% of prostate biopsies
are small hyaline masses of unknown significance found in the prostate gland
they are degenerate cells or thickened secretions in the prostate ducts
might appear as prostate calcifications on X-ray KUB
patients with indwelling catheters
neurogenic bladder patients on CIC
pregnant women
children under 5 years
trimethoprim- sulfamethoxazole
fluoroquinolones
aminoglycosides
nitrofurantoins
seniors house residents
ICU patients with indwelling urinary catheters
pregnant women
neurogenic bladder patients on CIC
sexual activity
the use of spermicide
estrogen depletion
fecal incontinence
the onset of symptoms is insidious
the lesion has no proven relation to bladder cancer
if left untreated, the bladder will turn small, contracted, with submucosal calcifications
a single positive urine culture refutes the diagnosis
43%
53%
63%
73%
tuberculous ulcer
malignant ulcer
gummatous ulcers
traumatic ulcer
nitrofurantoin monohydrate/macrocrystals
trimethoprim-sulfamethoxazole
ampicillin
fosfomycin
should be flushed frequently, but no antibiotic is advised
should be treated if febrile UTI has developed
should be treated only if urine culture is positive
should be treated once the catheter is removed
is a self-limiting infection where antibiotics are not required
is exclusively for UTI experienced by a girl after sexual intercourse on her wedding night
post-coital voiding has no value in the occurrence of the infection
self-initiated medication helps control the infection
a history of repeated urologic and/or gynecologic procedures
10 fold higher incidence of childhood voiding problems
4 fold higher incidence of anxiety-depression syndrome
6 fold higher incidence of psychosomatic disorders
improperly drained hair follicle scrotal abscess
syphilitic orchitis
tuberculous epididymitis
all of the above
viral load assay
western blot analysis
southern blot analysis
HIV-1/HIV-2 serology assay
It is an endophytic tumor of the transitional urothelium
harbors p53 gene mutations
presents with hematuria, dysuria, and irritative voiding
the lesion requires transurethral resection
elevated body temperature
dropped blood pressure
elevated heart rate
reduced urine output
aminoglycoside
fluoroquinolone
2nd generation cephalosporin
doxycycline
once a catheter is placed, the daily incidence of bacteriuria is 3-10%
on long-term catheterization, over 90% of patients develop bacteriuria
the practice of using urinary catheters to control incontinence in bedridden patients should be discouraged
urine bags should be placed on the floor to enhance gravity drainage
might rupture into the collecting system causing (hydatiduria)and renal colic
are formed by the eggs of the tapeworm Echinococcus granulosus
most cysts are asymptomatic but might manifest as flank mass, dull pain, or hematuria
the most reliable diagnostic test uses partially purified hydatid arc 5 antigens in a double-diffusion test
because standard laboratory culture specifications might not be favorable for growth of atypical organisms
because UTI could show fewer than 10 white cells/mm3 in urine
because laboratories may not report significant growth of a defined urinary pathogen
all of the above
2
6
7
8
intra-prostatic ductal reflux
paraphimosis
specific blood groups
unprotected anal intercourse
minimal
chronic persistent infections
chronic relapsing infections
bouts of chronic pyelonephritis