Difference between revisions of "Genitourinary infection"

(Treatment)
(Background)
 
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==Treatment==
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==Background==
# Post-menopausal --> 7 dy course (Cipro or Nitro)
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[[File:2605 The Bladder.jpg|thumb|Anatomy of the bladder (male)]]
# Pregnant --> 7dy course (Nitro or Keflex)
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[[File:Prostatelead.jpg|thumb|Prostate anatomy]]
# Male --> 10dy course (R/O prostatitis, urethritis)
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{{UTI types}}
# Complicated (risk for subclinical pyelonephritis ~25%)
 
## Structureal urologic abnlty
 
## Neurologic dysfx (elderly)
 
## Hx of UCI relapse
 
## Prior hx of pyelo
 
## Frequent UTIs
 
## Sx >7dys
 
## DM or other immunosuppresed
 
##--> increased course vs. admit
 
  
===Repeat===
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==Evaluation==
>3 UTIs/yr = R/O structural abnlty
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{{Perinephric vs Renal Abscess}}
 
 
#Cipro 250mg BID
 
#Bactrim DS BID
 
#Nitrofurantoin 100mg BID
 
#Keflex 250mg QID
 
  
 
==See Also==
 
==See Also==
Peds: UTI
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*[[Dysuria]]
 
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*[[Hematuria]]
==Source ==
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*[[Flank pain]]
10/07 DONALDSON (adapted from Tintinalli)
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*[[UTI (Peds)]]
  
[[Category:GU]]
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[[Category:Renal]]
 
[[Category:ID]]
 
[[Category:ID]]
 +
[[Category:Urology]]

Latest revision as of 10:32, 2 May 2020

Background

Anatomy of the bladder (male)
Prostate anatomy

Genitourinary infection

(1) Human urinary system: (2) kidney; (3) renal pelvis; (4) ureter; (5) urinary bladder (6) urethra.
Additional structures: (7) adrenal gland; (8) renal artery and vein; (9) inferior vena cava; (10) abdominal aorta; (11) common iliac artery and vein; (12) liver; (13) large intestine; (14) pelvis.

"UTI" frequently refers specifically to acute cystitis, but may also be used as a general term for all urinary infections; use location-specific diagnosis.

Evaluation

Perinephric vs renal abscess

Perinephric Renal
Necrotic Area Perinephric fat between the renal cortex and Gerota's fascia Renal parenchyma
Cause Pyelonephritis (majority) Pyelonephritis (vast majority)
Risk of morbidity Higher Lower

See Also