patients with indwelling catheters
neurogenic bladder patients on CIC
pregnant women
children under 5 years
A. patients with indwelling catheters
tuberculous ulcer
malignant ulcer
gummatous ulcers
traumatic ulcer
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
trimethoprim- sulfamethoxazole
fluoroquinolones
aminoglycosides
nitrofurantoins
acute epididymitis
indwelling urethral catheters
transurethral surgery
all of the above
chronic epididymitis
epididymo-orchitis
chronic bacterial prostatitis
venereal cysto-urethritis
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
minimal
chronic persistent infections
chronic relapsing infections
bouts of chronic pyelonephritis
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
substitution cystoplasty and continent diversion
fulguration of a Hunner`s ulcer or hydrodistention
intravesical installation of silver nitrate or dimethyl sulfoxide
low dose external beam irradiation
probably due to antibody/antigen reaction
has no diagnostic findings on cystoscopy
has no specific medical therapy
on histology, Von Brunn`s nests appear invaginating the urothelium into the lamina propria
an esinophilic immune reaction is generated in response to the eggs
chronic schistosomiasis can eventually result in small bladder and the development of cancers
schistosoma mansoni often causes urinary tract infections
could cause inflammatory polys and recurrent hematuria
dirty - infected
contaminated
clean - contaminated
clean
sterile pyuria on 3 consecutive cultures
the presence of glomerulations and/or Hunner`s ulcer on endoscopy
pain and discomfort related to the bladder
urgency and frequency with no documented infection
inadequately treated UTI
renal papillary necrosis
acute emphysematous pyelonephritis
urinary tract tuberculosis
1 2.7%
5 9%
10 27%
30 47%
nephrotic syndrome
hypertension
sickle cell hemoglobinopathy
sarcoidosis
early morning sample, after cleansing the perineum and meatus
by urethral catheterization under strict aseptic technique
a clean catch of midstream voided urine
by suprapubic aspiration, as urine is sterile
16
18
22
12
small indirect inguinal hernia may irritate the genital branch of genitofemoral nerve causing orchialgia
might respond to a selective nerve block
the recommended treatment is orchiectomy with implantation of a testicular prosthesis
psychotherapy and stress management might alleviate the pain
the hallmark in the diagnosis is the cystoscopic findings
risk factors include transplant recipients
CT shows intramural and/or intraluminal gas in the bladder
requires surgical debridement and probably cystectomy
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
rifampicin
doxycycline
azithromycin
none of the above
could result from intra-renal abscess of ascending infection
urine culture might be negative
plain KUB X-ray has no value in the diagnosis
surgical drainage is the proper treatment
pain is dull aching in the scrotum, perineum, inner thighs, and lower abdomen
dysuria, frequency, and/or urgency
long-standing (> 6 weeks) history of scrotal pain, and tenderness
low grade fever, malaise, and urethral discharge
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
greater than 8 fold
greater than 6 fold
greater than 4 fold
comparable
type I
type II
type III
type IV
multiple antiretroviral drugs can be combined into a single pill
might cause radiolucent renal stones
can lead to a significant rise in the serum level of PDE5 inhibitors, if taken simultaneously
have the advantage of structured treatment interruptions (drug holidays)
histocytes
T lymphocytes
mast cells
B lymphocytes
type II
type III-a
type III-b
type IV