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
C. co-trimoxazole is the preferred antibiotic for empiric therapy
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
nitrofurantoin monohydrate/macrocrystals
trimethoprim-sulfamethoxazole
ampicillin
fosfomycin
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
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
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
P blood group
fimbria
pili
hemolysin
giant staghorn stone
perivesical abscess with fistula to the bladder
bacterial resistance
self-inflicted infection
beaded vas deferens
testicular micrilithiasis
testicular atrophy
epididymal granuloma
TUR ejaculatory duct
prolonged urethral catheterization
prostatic biopsy
vas ligation
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
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
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
minimal
chronic persistent infections
chronic relapsing infections
bouts of chronic pyelonephritis
in the elderly
in long-term catheterized patient
in pregnancy
none of the above
urethral infection with trichomonas vaginalis
bladder infection with adenovirus
Kawasakis disease
all of the above
trimethoprim- sulfamethoxazole
fluoroquinolones
aminoglycosides
nitrofurantoins
inhibits bladder epithelial cell proliferation
inhibits the bladder proliferative growth factors
stimulates the proliferation inhibitory factors
none of the above
scrotal support and elevation
ice packs
non-steroidal anti-inflammatory agents
urethral catheterization
elevated body temperature
dropped blood pressure
elevated heart rate
reduced urine output
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
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
aminopenicillins
fluoroquinolones
aminoglycosides
nitrofurantoins
is defined as a polymicrobial chronic infection of the perineal, perianal, or genital areas
as the disease progresses, branches from the inferior epigastric, deep circumflex iliac, and external pudendal arteries get thrombosed
presents as a dark skinned-scrotum, subcutaneous crepitation, and foul smell
surgical debridement often spares the testes
inflammatory bowel disease
rheumatoid arthritis
systemic lupus erythematosus
fibromyalgia
type II
type III-a
type III-b
type IV
fever, chills, abdominal pain
costovertibral angle tenderness
hypogastric and loin pain
flank pain, dysuria
N. gonorrhea and C. trachomatis
E. coli and Pseudomonas species
Mycoplasma genitalium and Ureaplasma species
Trichomonas vaginalis and Gardnerella vaginalis
most cysts appear as filling defects on cystography
most often found in the trigone area
the cyst lumens contain esinophilic secretions that may have a few inflammatory cells
cystitis cystica and cystitis glandularis are reactive urothelial changes
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
asymptomatic bacteriuria
sterile pyouria
bacterial colonization
unresolved bacteriuria