11. UTI and Obstructive Diseases - Sakrani

• UTI are commonly affected by?

  females
• Which bacteria is most common cause of UTI?

  E coli
• Cystitis

  • urgency
  • frequency
  • dysuria
  • suprapubic discomfort
  • hematuria
• emphysematous pyelonephritis

  • gas in renal + perinephric tissue
  • occur in diabetic patients
• Xanthogranulomatous pyelonephritis

  • occurs when chronic urinary obstruction - staghorn
  • destruction of renal tissue
• Gold standard for diagnosing UTI?

  urine culture
• Treatment of UTI - in pregnancy

  • nitro - no use in 3rd trimester
  • ampicillin
  • cephalosporin
• Which meds for UTI is not used during pregnancy?

  • TMP-SMX
  • Fluroquinolone
• Urine citrate is a natural inhibitor of calcium-containing stones
• Renal colic - when stones moves into ureter

  • sudden onset of unilateral flank pain
• Nephrocalcinosis - stones remain in place over papillae

  • X-Ray - multiple papillary calcification
  • stones composed of struvite
• Treatment of kidney stones - if larger than 6 mm

  • percutaneous nephrolithotomy
  • Ureteroscopy
• Gold standard for diagnosing renal stones?

  CT scan
• Most common stone type is?

  calcium
• struvite stones tx

  • antimicrobial agents
  • judicious surgery