foreign-body cystitis due to vesical calculi
Von Brunn`s nests of cystitis cystica and cystitis glandularis
schistosomiasis cystitis
inverted papilloma of the bladder
B. Von Brunn`s nests of cystitis cystica and cystitis glandularis
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
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)
tuberculous ulcer
malignant ulcer
gummatous ulcers
traumatic ulcer
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
in pediatrics, adenovirus types 11 and 21 could result in hemorrhagic cystitis
immunosuppressed children are especially susceptible to Cytomegalovirus and Adenoviruses 7, 21, and 35
in pediatrics, acute viral cystitis might present as acute retention of urine
classically, treatment should be culture-specific
elevated body temperature
dropped blood pressure
elevated heart rate
reduced urine output
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
type I
type II
type III
type IV
intra-prostatic ductal reflux
paraphimosis
specific blood groups
unprotected anal intercourse
sexual activity
the use of spermicide
estrogen depletion
fecal incontinence
30
40
50
60
substitution cystoplasty and continent diversion
fulguration of a Hunner`s ulcer or hydrodistention
intravesical installation of silver nitrate or dimethyl sulfoxide
low dose external beam irradiation
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
perivesical abscess with fistula to bladder
acute tubular necrosis
renal papillary necrosis
xanthogranulomatous pyelonephritis
aminoglycoside
fluoroquinolone
2nd generation cephalosporin
doxycycline
type II
type III-a
type III-b
type IV
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
most commonly due to indwelling catheters
the areas of inflammation are usually confined to the lateral walls or the dome of the bladder
radiographic changes are nonspecific or present as bullous edema
indwelling catheters are associated with squamous cell carcinoma of the bladder
aminopenicillins
fluoroquinolones
aminoglycosides
nitrofurantoins
mode of administration
level in the serum
level in the urine
dosage
nephrotic syndrome
hypertension
sickle cell hemoglobinopathy
sarcoidosis
inhibits bladder epithelial cell proliferation
inhibits the bladder proliferative growth factors
stimulates the proliferation inhibitory factors
none of the above
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
children
the elderly
men
women
trimethoprim- sulfamethoxazole
fluoroquinolones
aminoglycosides
nitrofurantoins
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
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 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
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
43%
53%
63%
73%