5%
10%
15%
20%
B. 10%
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
phagocytes
CD4 T cells
B lymphocytes
natural killer cells
dirty - infected
contaminated
clean - contaminated
clean
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
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
giant staghorn stone
perivesical abscess with fistula to the bladder
bacterial resistance
self-inflicted infection
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
sexual activity
the use of spermicide
estrogen depletion
fecal incontinence
is a common cause of elevated PSA level
might follow BCG treatment
is sequelae of untreated type III-b prostatitis
shows homogenous enhancement following Gd-DTPA on prostate MRI
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
commonly presents with scrotal pain, swelling, fever, and leucocytosis
epididymo-orchitis is the most frequent genitourinary complication of brucellosis
epididymo-orchitis occurs in 10-15% of male patients with brucellosis
treatment includes doxycycline and rifampicin for 6-8 weeks
30
40
50
60
TUR ejaculatory duct
prolonged urethral catheterization
prostatic biopsy
vas ligation
N. gonorrhea and C. trachomatis
E. coli and Pseudomonas species
Mycoplasma genitalium and Ureaplasma species
Trichomonas vaginalis and Gardnerella vaginalis
kidneys, prostate and epididymi
bladder, ureters and renal pelvis
vasa, scrotum and adrenals
testes, bladder neck and seminal vesicles
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
fever, chills, abdominal pain
costovertibral angle tenderness
hypogastric and loin pain
flank pain, dysuria
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
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
children
the elderly
men
women
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
produces yellow whitish, scanty, frothy urethral discharge
shows gram (+), extracellular diplococcic
infection could be contracted from the spouses eyes
responds fairly to azithromycin
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
kidneys and adrenals
bladder and ureters
prostate and vasa
testes and epididymi
scrotal support and elevation
ice packs
non-steroidal anti-inflammatory agents
urethral catheterization
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
16
18
22
12
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
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
pelvic inflammatory disease
lymphogranuloma venereum
infertility
all of the above