manifested as a sudden onset of hematuria, proteinuria, oliguria, edema, hypertension, and RBC casts in the urine
post-streptococcus GN has an incubation period of 1-3 weeks with specific strains of group A beta-hemolytic streptococcus
the triad of sinusitis, pulmonary infiltrates, and nephritis, suggests Wegener granulomatosis
C3, C4, ESR and antistreptolysin O titer are increased
D. C3, C4, ESR and antistreptolysin O titer are increased
nucleic acid amplification tests are the preferred to diagnose Gonococcal and Chlamydial infections
shows dark yellow, purulent, thick urethral discharge
the most common site of the infection is the endocervix
the incubation period is 2 3 weeks
is the commonest extra-pulmonary site of infection
bladder TB is secondary to renal TB, and usually begins at the ureteral orifices
in the kidneys, TB is typically bilateral, cortical, and adjacent to the glomeruli; they may remain dormant for ages
epididymal TB might occur by hematogenous or direct spread from the urinary tract
bladder neck suspension surgery
chronic constipation
poor genital hygiene
contraceptive diaphragm
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
30
40
50
60
clinically, cannot be differentiated from acute bacterial prostatitis
medical management is often unsuccessful
it harbors prostate cancer in approximately 4.3% of cases
management include suprapubic urinary diversion
ureteral obstruction
proteinuria
stone formation
renal scarring
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
1.7%
7%
17%
71%
manifested as a sudden onset of hematuria, proteinuria, oliguria, edema, hypertension, and RBC casts in the urine
post-streptococcus GN has an incubation period of 1-3 weeks with specific strains of group A beta-hemolytic streptococcus
the triad of sinusitis, pulmonary infiltrates, and nephritis, suggests Wegener granulomatosis
C3, C4, ESR and antistreptolysin O titer are increased
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
P blood-group antigen
P fimbriae in descending infections
emolysins
Dr family of adhesins in ascending infections
inhibits bladder epithelial cell proliferation
inhibits the bladder proliferative growth factors
stimulates the proliferation inhibitory factors
none of the above
aminopenicillins
fluoroquinolones
aminoglycosides
nitrofurantoins
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
N. gonorrhea and C. trachomatis
E. coli and Pseudomonas species
Mycoplasma genitalium and Ureaplasma species
Trichomonas vaginalis and Gardnerella vaginalis
any amount of uropathogen grown in culture indicates UTI
for cystitis, more than 1000 CFU/mL indicates UTI
for pyelonephritis, more than 10,000 CFU/mL indicates UTI
for asymptomatic bacteriuria, more than 100,000 CFU/mL indicates UTI
type I
type II
type III
type IV
giant staghorn stone
perivesical abscess with fistula to the bladder
bacterial resistance
self-inflicted infection
prostatic TB is better drained per rectum before initiating the medications
renal TB may require nephroureterectomy
peripheral neuritis is a known side effect of isoniazid
moxifloxacin might result in tendon rupture
TUR ejaculatory duct
prolonged urethral catheterization
prostatic biopsy
vas ligation
1 2.7%
5 9%
10 27%
30 47%
fever and chills
suprapubic pain and pyuria
flank pain and tenderness
none of the above
the average time from the beginning of radiation therapy to initial symptoms could be 2 4 weeks
treatment with stationary radiation, portals carry a higher risk of morbidity than treatment with rotating portals do
it occurs in about 10% of patients treated with definitive irradiation therapy for prostate cancer after 10 years
most cases are mildly affected and require no specific therapy
VB1 and VB3
prostatic secretions and the VB3
prostatic secretions and the VB2
prostatic secretions and the VB1
viral load assay
western blot analysis
southern blot analysis
HIV-1/HIV-2 serology assay
scrotal support and elevation
ice packs
non-steroidal anti-inflammatory agents
urethral catheterization
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
fever, chills, abdominal pain
costovertibral angle tenderness
hypogastric and loin pain
flank pain, dysuria
is most commonly associated with Proteus or E. coli infection
is characterized by lipid-laden foamy macrophages
the overall prognosis is poor
it might involve adjacent structures or organs