cleansing the urethral meatus with aseptic agent
careful aseptic insertion of the catheter
maintenance of a closed drainage system
maintaining a dependant drainage system
A. cleansing the urethral meatus with aseptic agent
asymptomatic bacteriuria
sterile pyouria
bacterial colonization
unresolved bacteriuria
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
kidneys, prostate and epididymi
bladder, ureters and renal pelvis
vasa, scrotum and adrenals
testes, bladder neck and seminal vesicles
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
5%
10%
15%
20%
CT shows the characteristic bear paw sign
it is an infected, obstructed, poorly functioning kidney containing stones
nephrectomy is the treatment
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
tuberculous ulcer
malignant ulcer
gummatous ulcers
traumatic ulcer
1.7%
7%
17%
71%
CBC reveals leucocytosis with predominance of neutrophils
contrast CT reveals one or more focal wedge-like swollen regions of the kidney parenchyma, sparing the cortex, and demonstrating reduced enhancement rim sign
in children, recurrent acute pyelonephritis might lead to renal scarring
in pregnancy, recurrent acute pyelonephritis might lead to preterm labor
giggle incontinence
estrogen deficiency
cystitis glandularis
cystitis cystica
histocytes
T lymphocytes
mast cells
B lymphocytes
ureteral obstruction
proteinuria
stone formation
renal scarring
should be distinguished from testicular torsion in the emergency setting
viral epididymitis is commoner in the elderly
chronic epididymitis might complicate BPH
chronic epididymitis might require epididymectomy
P blood group
fimbria
pili
hemolysin
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
perivesical abscess with fistula to bladder
acute tubular necrosis
renal papillary necrosis
xanthogranulomatous pyelonephritis
1 2.7%
5 9%
10 27%
30 47%
chronic pyelonephritis and HTN lead to ESRD in 10% of the cases
neonatal symptoms of UTI are vague and non-specific, that delay the diagnosis and end in more scarring
despite adequate treatment, scarring continues after an attack of pyelonephritis as a chronic immune reaction against renal tubules
neonates have low intrarenal pelvic pressure, that predisposes to ascending infections
aminopenicillins
fluoroquinolones
aminoglycosides
nitrofurantoins
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
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
Kaposi sarcoma,
Hodgkin lymphoma
non-Hodgkin lymphoma
cervical cancer
sexual activity
the use of spermicide
estrogen depletion
fecal incontinence
abscess appears as a low attenuation cystic cavity containing gas
renal parenchyma around the abscess cavity may show hypo enhancement in nephrogram phase
associated fascial and septal thickening are seen with obliteration of perinephric fat
all of the above
is a self-limiting infection where antibiotics are not required
is exclusively for UTI experienced by a girl after sexual intercourse on her wedding night
post-coital voiding has no value in the occurrence of the infection
self-initiated medication helps control the infection
bladder neck suspension surgery
chronic constipation
poor genital hygiene
contraceptive diaphragm
discomfort on placing urethral catheter and pain on bladder filling
difficulty in zeroing the pressure and diminished response to first cough
low filling pressure but high voiding pressure
uninhibited bladder contractions with a relative bladder hypotonia
inflammatory bowel disease
rheumatoid arthritis
systemic lupus erythematosus
fibromyalgia
infertility
hypogonadotropic hypogonadism
non seminomatous germ cell tumor
chronic orchalgia