inadequately treated UTI
renal papillary necrosis
acute emphysematous pyelonephritis
urinary tract tuberculosis
C. acute emphysematous pyelonephritis
inflammatory bowel disease
rheumatoid arthritis
systemic lupus erythematosus
fibromyalgia
indwelling catheter insertion must be under sterile condition
systemic antibiotics help best in preventing bacteriuria
greater than 90% of nosocomial UTIs are related to urethral catheters
Intermittent catheterization carries the incidence of 1-3% of developing bacteriuria per insertion
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
aminoglycoside
fluoroquinolone
2nd generation cephalosporin
doxycycline
seniors house residents
ICU patients with indwelling urinary catheters
pregnant women
neurogenic bladder patients on CIC
tuberculous ulcer
malignant ulcer
gummatous ulcers
traumatic ulcer
foreign-body cystitis due to vesical calculi
Von Brunn`s nests of cystitis cystica and cystitis glandularis
schistosomiasis cystitis
inverted papilloma of the bladder
the hallmark in the diagnosis is the cystoscopic findings
risk factors include transplant recipients
CT shows intramural and/or intraluminal gas in the bladder
requires surgical debridement and probably cystectomy
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
fever and chills
suprapubic pain and pyuria
flank pain and tenderness
none of the above
mode of administration
level in the serum
level in the urine
dosage
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)
beaded vas deferens
testicular micrilithiasis
testicular atrophy
epididymal granuloma
pelvic inflammatory disease
lymphogranuloma venereum
infertility
all of the above
kidneys and adrenals
bladder and ureters
prostate and vasa
testes and epididymi
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
children
the elderly
men
women
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
cleansing the urethral meatus with aseptic agent
careful aseptic insertion of the catheter
maintenance of a closed drainage system
maintaining a dependant drainage system
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
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
is best diagnosed by ascending urethrography
occurs mostly in diabetic and immunosuppressed patients
could be due to maceration injury, irritant dermatitis, or Candida
commonly presents with deep inguinal lymphadenopathy
asymptomatic bacteriuria
sterile pyouria
bacterial colonization
unresolved bacteriuria
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
elevated body temperature
dropped blood pressure
elevated heart rate
reduced urine output
phagocytes
CD4 T cells
B lymphocytes
natural killer cells
could result from intra-renal abscess of ascending infection
urine culture might be negative
plain KUB X-ray has no value in the diagnosis
surgical drainage is the proper treatment
viral load assay
western blot analysis
southern blot analysis
HIV-1/HIV-2 serology assay
kidneys, prostate and epididymi
bladder, ureters and renal pelvis
vasa, scrotum and adrenals
testes, bladder neck and seminal vesicles
scrotal support and elevation
ice packs
non-steroidal anti-inflammatory agents
urethral catheterization