22 UTI

Types

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• pyelonephritis: kidney

Causes

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• most are entero bacteria

• hair bow: Fimbriae, pili like, cause for UTI

• UTI cup with #1: Most common cause of UTI

• horn of stag: Forms staghorn calculi in renal stones

• ankylosaurus with clubbed tail/ kleb tail

• mucous on back: polysaccharide capsule

• NH3 bottle spraying kleb: Urease positive

• bag of urine: Urinary tract infection

• Sexy girl with UTI cup: S. saprophyticus is a common cause of UTI in sexually active females

• Do U heart trees: May cause of endocarditis, UTI, and biliary tree infection (insoluble in bile)

Risks and Demographics

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• urethra shorter and closer to rectum

• UTI in men: suspect for diabetes

• fast urinary flow: bacteria pushed out

• trickling urinary flow: bacteria climb up

Symptoms and Diagnosis

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• burning type of pain

• no fever, chills, sweats

• WBCs pushed together as passed through ureter

• pts with pyelonephritis may also have symptoms for cystitis (infection ascends)

• look at urine, cloudy = UTI

• dipstick test for leukocyte esterase

• presence of pyuria with negative urine culture

Treatment

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• Red bladder cup: treat gram negative UTIs (e.g. E. coli, Proteus)

• Mona Lisa elevating and sipping from bladder cup: levofloxacin and ciprofloxacin treat UTI caused by Pseudomonas

• Milky kidney flask: empiric treatment for pyelonephritis

• Flower bulb down pants: treat acute prostatitis

• Bladder cup: first line treatment for UTI

• Egg down pants: treats acute prostatitis

Chronic pyelonephritis

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• scarring

• blunted calyx:

• pyramid blunted, round calyx instead of sharp

• depression with scarring