taking urine samples by draining the urine bag
daily cleansing the external meatus
placing the urine bag on the floor
changing the urine bag once it is full
B. daily cleansing the external meatus
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
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
elevated body temperature
dropped blood pressure
elevated heart rate
reduced urine output
bladder neck suspension surgery
chronic constipation
poor genital hygiene
contraceptive diaphragm
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
chronic epididymitis
epididymo-orchitis
chronic bacterial prostatitis
venereal cysto-urethritis
the cytological examination of the urine and/or EPS
transrectal ultrasonographic examination
the presence of ≥10 WBCs/HPF in the urine with negative culture in type III-b
the positive urine culture, and negative EPS support type III-a
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
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 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
trimethoprim- sulfamethoxazole
fluoroquinolones
aminoglycosides
nitrofurantoins
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
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
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)
beading of the lower ureteral segment
ureteral fibrosis and calcifications of the distal ureter
stricture at the uretero-vesical junction
all of the above
43%
53%
63%
73%
beaded vas deferens
testicular micrilithiasis
testicular atrophy
epididymal granuloma
kidneys, prostate and epididymi
bladder, ureters and renal pelvis
vasa, scrotum and adrenals
testes, bladder neck and seminal vesicles
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
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
type I
type II
type III
type IV
produces yellow whitish, scanty, frothy urethral discharge
shows gram (+), extracellular diplococcic
infection could be contracted from the spouses eyes
responds fairly to azithromycin
results from ectopic nephrogenic blastema cells in the detrusor muscle
might undergo malignant transformation in 15 40% of the cases
on cystoscopy, it appears as a bladder mucosal irregularity or large intramural mass
the preferred treatment is cystectomy and urinary diversion
mode of administration
level in the serum
level in the urine
dosage
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
5%
10%
15%
20%
bladder epithelial cells
type C nerve endings in the bladder
type A delta nerve endings in the bladder
the innermost longitudinal fibres of detrusor muscle
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