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
D. on histology, Von Brunn`s nests appear invaginating the urothelium into the lamina propria
AIDS patients in active infection show low CD4 + T-cell count
the diagnosis is confirmed by positive anti-HIV-1, anti-HIV-2 antibodies
patients receiving antiviral therapy could still be infectious
herpes simplex virus increases HIV replication in infected persons
1 2.7%
5 9%
10 27%
30 47%
ascending UTI causing acute lobar nephronia
acute pyelonephritis in a transplanted kidney
infected renal subcapsular hematoma
perinephric abscess causing septicemia
phagocytes
CD4 T cells
B lymphocytes
natural killer cells
pelvic inflammatory disease
lymphogranuloma venereum
infertility
all of the above
no pathognomonic histology for interstitial cystitis
basically, biopsies are performed to exclude carcinomas and other varieties of cystitis
diagnostic biopsies include the presence of discrete micro-ulcers and increased numbers of mast cells in the detrusor muscle or submucosa
none of the above
asymptomatic bacteriuria
sterile pyouria
bacterial colonization
unresolved bacteriuria
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
inhibits bladder epithelial cell proliferation
inhibits the bladder proliferative growth factors
stimulates the proliferation inhibitory factors
none of the above
greater than 8 fold
greater than 6 fold
greater than 4 fold
comparable
advanced age
anatomical anomalies
poor drug compliance
smoking
allergic, type I hypersensitivity response
pelvic floor dysfunction
up-regulation of histaminergic and muscarinic neuro-receptors
neural hypersensitivity
Kaposi sarcoma,
Hodgkin lymphoma
non-Hodgkin lymphoma
cervical cancer
a cause of obstruction should be sought
PCN is placed to decompress the kidney and preserve renal function
blood-born staphylococci are commoner than ascending E.coli infections
blood and urine cultures must dictate the antibiotic choice from day 1
minimal
chronic persistent infections
chronic relapsing infections
bouts of chronic pyelonephritis
carry on the full antibiotic course, and then repeat CT
incision and drainage of the renal abscess with/without nephrectomy
the abscess size dictates management
perc. drainage of the renal abscess
nephrotic syndrome
hypertension
sickle cell hemoglobinopathy
sarcoidosis
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
tuberculous ulcer
malignant ulcer
gummatous ulcers
traumatic ulcer
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
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 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
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
trimethoprim- sulfamethoxazole
fluoroquinolones
aminoglycosides
nitrofurantoins
patients with indwelling catheters
neurogenic bladder patients on CIC
pregnant women
children under 5 years
chronic epididymitis
epididymo-orchitis
chronic bacterial prostatitis
venereal cysto-urethritis
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)
categorizes CP-CPPS, IC, and painful bladder syndrome based on 5 etiological principles
meant to classify CP-CPPS and IC patients into 6 domains
helps establish a reliable diagnosis of CP/CPPS or IC
the diagnostic scores of UPOINT depend on cystoscopy, TRUS, urine analysis and culture of uncommon microbes
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
ureteral obstruction
proteinuria
stone formation
renal scarring