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
D. self-initiated medication helps control the 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
drug resistance
non-compliance
the presence of persistent pathology
all of the above
Hunner`s ulcers are multiple ulcerative patches surrounded by mucosal congestion on the dome or lateral walls
ulcers might get distorted after overdistention, because discrete areas of mucosal scarring rupture during the procedure
in non-ulcerative type, overdistention demonstrates glomerulations on the dome and lateral walls
overdistention results in mucosal tears and submucosal hemorrhage
16
18
22
12
a new episode of UTI caused by different species or occurring at long intervals
recurrent UTIs caused by the same organism in each instance, classically, at close intervals
recurrent UTIs due to failure of medical therapy to eradicate the infection
recurrent UTIs due to a persistent pathology that is obstinate to surgery
an esinophilic immune reaction is generated in response to the eggs
chronic schistosomiasis can eventually result in small bladder and the development of cancers
schistosoma mansoni often causes urinary tract infections
could cause inflammatory polys and recurrent hematuria
inadequately treated UTI
renal papillary necrosis
acute emphysematous pyelonephritis
urinary tract tuberculosis
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
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
improperly drained hair follicle scrotal abscess
syphilitic orchitis
tuberculous epididymitis
all of the above
cystitis glandularis
cystitis cystica
esinophilic cystitis
cystitis follicularis
kidneys
bladder
prostate
epididymis
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
fever and chills
suprapubic pain and pyuria
flank pain and tenderness
none of the above
might rupture into the collecting system causing (hydatiduria)and renal colic
are formed by the eggs of the tapeworm Echinococcus granulosus
most cysts are asymptomatic but might manifest as flank mass, dull pain, or hematuria
the most reliable diagnostic test uses partially purified hydatid arc 5 antigens in a double-diffusion test
acute bacterial prostatitis presenting with abscess formation
recurrent or refractory chronic bacterial prostatitis
asymptomatic prostatitis with pyuria resistant to common antimicrobials
curiously, chronic inflammatory prostatitis could respond to low-dose suppressive antibiotic
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
antibiotic therapy is recommended for affected individuals with documented trichomonal infection and sexual partners even if asymptomatic
empirical treatment for gonococcal urethritis should cover chlamydia trachomatis
consistent and proper usage of condoms is estimated to prevent HIV transmission by approximately 80 to 95%
vaccinations are available for the prevention of human papillomavirus, N. gonorrhea, chlamydia trachomatis
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
inhibits bladder epithelial cell proliferation
inhibits the bladder proliferative growth factors
stimulates the proliferation inhibitory factors
none of the above
natural sloughing of bladder mucosa
voiding
urine osmolarity
urine pH
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
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
kidneys, prostate and epididymi
bladder, ureters and renal pelvis
vasa, scrotum and adrenals
testes, bladder neck and seminal vesicles
P blood-group antigen
P fimbriae in descending infections
emolysins
Dr family of adhesins in ascending infections
scrotal support and elevation
ice packs
non-steroidal anti-inflammatory agents
urethral catheterization
inflammatory bowel disease
rheumatoid arthritis
systemic lupus erythematosus
fibromyalgia
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