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CDM Quiz #2 - Urinary Frequency.
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CDM Quiz #2 - Urinary Frequency.
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CDM Quiz #2 - Urinary FrequencyWhat are some symptoms of UTI (Acute Cystitis)? - correct answer-- SUPRAPUBIC
PAIN
- NO FEVER (usually)
- GROSS HEMATURIA
- ABRUPT ONSET OF ILLNESS (<3 DAYS)
- (+) CVA tenderness
- discharge
- itching
- dysuria
- urgency + frequency
What tests would you do for UTI (Acute Cystitis)? - correct answer-- UA (leukocytes,
nitrites, blood)
- Urine culture (MC pathogen = E. coli)
What is the most common pathogen associated with a UTI? - correct answer-E. coli
How do you treat an UNCOMPLICATED UTI? - correct answer-1 - Fosfomycin
Trometamol (3g single dose) OR Bactrim OR Macrobid OR Cipro
3 - Resistant to Bactrim = Ciprofloxacin
4 - Pregnant patients = Macrobid or Amoxicillin
5 - Symptomatic relief (Hot sitz baths)
1st line treatment for uncomplicated UTI - correct answer-Fosfomycin 3g single dose
OR Bactrim
Treatment for uncomplicated UTI if resistant to Bactrim - correct
answer-Ciprofloxacin
Treatment for uncomplicated UTI for pregnant patients - correct answer-Macrobid
What are some causes of vaginitis? - correct answer-- Candida
- Bacterial vaginosis
- Trichomoniasis
- HSV
What are some symptoms of vaginitis? - correct answer-- DISCHARGE with irritation
- dysuria
- FOUL SMELLING DISCHARGE
- itching, burning, irritation
- abdominal pain/pelvic pain
, - bleeding after intercourse
- pain with intercourse
- urgency + frequency
How do you test for vaginitis? - correct answer-- Cervical culture
- Vaginal secretions culture
- Test vaginal pH
- Urine culture
- UA
- Pelvic exam
How do you treat vulvovaginal candidiasis? - correct answer-Clotrimazole or
Miconazole cream intravaginally daily x7-14 days
How do you treat Bacterial vaginosis? - correct answer-1 - PO Metronidazole (Flagyl)
2 - Clindamycin cream
How do you treat Trichomoniasis? - correct answer-Metronidazole (Flagyl)
Fever + flank pain + hematuria - correct answer-Acute Pyelonephritis
What are symptoms of Acute Pyelonephritis? - correct answer-- FEVER***
- FLANK PAIN***
- Leukocytosis***
- chills
- N/V
- hematuria
- (+) CVA tenderness
How do you test for Acute Pyelonephritis? - correct answer-- UA (RBC, WBC casts)
- Urine culture
- CBC with differential (leukocytosis)
- BMP (check kidney function)
- CT (linear low densities with striated appearance; hydronephrosis)
CT shows linear low densities with the striated appearance of kidneys - correct
answer-Acute Pyelonephritis
(+) CVA tenderness - correct answer-Acute Pyelonephritis
How do you treat UNCOMPLICATED Pyelonephritis or COMPLICATED UTI? -
correct answer-1 - Ciprofloxacin or Levofloxacin
2 - IV Fluids
3 - IV antiemetics
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