von Hippel-Lindau disease
tuberous sclerosis
cystic fibrosis
autosomal dominant polycystic kidney disease
B. tuberous sclerosis
rarely, the urothelial cell nests show a central lumen lined by glandular epithelium
In some cases, it may form polypoid masses that mimic urothelial neoplasms
It might appear as multinodular exophytic mass seen on cystoscopy
cystitis cystica and cystitis glandularis frequently coexist in the same specimen
manifests as recurrent renal colics due to ureteral obstruction
treatment is surgical mobilization of ureter and ligation of the vein
commonly, occurs at the left side
the pain worsens on sitting upright and during pregnancy
kidneys, prostate and epididymi
bladder, ureters and renal pelvis
vasa, scrotum and adrenals
testes, bladder neck and seminal vesicles
should be distinguished from testicular torsion in the emergency setting
viral epididymitis is commoner in the elderly
chronic epididymitis might complicate BPH
chronic epididymitis might require epididymectomy
the incidence of scarring following a single episode of febrile UTI is 4.5%
intra-renal reflux is common in convex papillae
scarring and chronic pyelonephritis lead to hypertension in 10-20%
scarring is best detected and followed up by DMSA
45% are caused by E. coli
related to an indwelling urinary catheter in approximately 40% of cases
responds fairly to oral antibiotics
tends to report higher antibiotic resistance
cleansing the urethral meatus with aseptic agent
careful aseptic insertion of the catheter
maintenance of a closed drainage system
maintaining a dependant drainage system
aminopenicillins
fluoroquinolones
aminoglycosides
nitrofurantoins
aminoglycoside
fluoroquinolone
2nd generation cephalosporin
doxycycline
is an uncommon granulomatous disease that affect the skin and/or urinary bladder
it might be due to a disturbed function of B lymphocytes
characterized by the presence of basophilic inclusion structure (Michaelis-Gutmann body)
it might be due to a defective phagolysosomal activity of monocytes or macrophages
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
drug resistance
non-compliance
the presence of persistent pathology
all of the above
poor tissue perfusion manifests as hyperlactemia and decreased capillary refill
acute oliguria indicates an organ dysfunction and circulatory collapse
septic shock is an extreme form of sepsis when hypotension persists despite adequate fluid resuscitation
hypotension is a sign of hyperdynamic circulation at an early septic shock
Coxsackie B
Epstein-Barr
varicella
all of the above
trimethoprim- sulfamethoxazole
fluoroquinolones
aminoglycosides
nitrofurantoins
children
the elderly
men
women
scrotal support and elevation
ice packs
non-steroidal anti-inflammatory agents
urethral catheterization
N. gonorrhea and C. trachomatis
E. coli and Pseudomonas species
Mycoplasma genitalium and Ureaplasma species
Trichomonas vaginalis and Gardnerella vaginalis
PCNL after treating the infection
cystoscopy and placing a retrograde ureteral stent followed by ESWL
perc. nephrostomy and placing antegrade ureteral stent
nephrectomy
type I could harbor prostate abscess
type II presents as intermittent urinary tract infections
type III-a presentation might include psychological complaints
between 10-15% of men with type IV, have pus cells in their semen but no symptoms
43%
53%
63%
73%
patients with indwelling catheters
neurogenic bladder patients on CIC
pregnant women
children under 5 years
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
greater than 8 fold
greater than 6 fold
greater than 4 fold
comparable
seniors house residents
ICU patients with indwelling urinary catheters
pregnant women
neurogenic bladder patients on CIC
is a premalignant condition
it can be locally aggressive and invades surrounding structures causing bone erosions
kidneys are the most commonly affected organs
characterized by rounded intracellular inclusions (owls-eyes) in large esinophilic histocytes
viral load assay
western blot analysis
southern blot analysis
HIV-1/HIV-2 serology assay
nitrofurantoin monohydrate/macrocrystals
trimethoprim-sulfamethoxazole
ampicillin
fosfomycin
phagocytes
CD4 T cells
B lymphocytes
natural killer cells
nephrotic syndrome
hypertension
sickle cell hemoglobinopathy
sarcoidosis