Urinary tract infection resident survival guide: Difference between revisions
Jump to navigation
Jump to search
Ochuko Ajari (talk | contribs) |
Ochuko Ajari (talk | contribs) |
||
| Line 24: | Line 24: | ||
{{familytree/start}} | {{familytree/start}} | ||
{{familytree | | | | A01 | | | | | | | | | | | | A01=<div style="float: left; text-align: left; line-height: 150% ">'''Characterize the symptoms:''' <br> ❑ Fever <br> ❑ Dysuria <br> ❑ Frequent urination <br> ❑ Suprapubic pain <br> ❑ Hematuria <br> ❑ Vomiting <br> ❑ Diarrhea <br> ❑ Nausea <br> ❑ Flank or back pain <br> ❑ Weak stream <br> ❑ Hesistancy <br> ❑ Nocturia <br> ❑ Chills <br> ❑ Urethral discharge | {{familytree | | | | A01 | | | | | | | | | | | | A01=<div style="float: left; text-align: left; line-height: 150% ">'''Characterize the symptoms:''' <br> ❑ [[Fever]] <br> ❑ [[Dysuria]] <br> ❑ [[Frequent urination]] <br> ❑ Suprapubic pain <br> ❑ [[Hematuria]] <br> ❑ [[Vomiting]] <br> ❑ [[Diarrhea]] <br> ❑ [[Nausea]] <br> ❑ [[Flank pain]] or [[back pain]] <br> ❑ Weak stream <br> ❑ Hesistancy <br> ❑ [[Nocturia]] <br> ❑ Chills <br> ❑ [[Urethral discharge]] | ||
---- | ---- | ||
'''Obtain a detailed history:''' <br> ❑ Use of urinary catheters <br> ❑ Pregnancy <br> ❑ Diabetes <br> ❑ Female and sexually active <br> ❑ Renal problems <br> ❑ Menopausal <br> ❑ Sickle cell disease <br> ❑ Elderly <br> ❑ Antibiotic use <br> ❑ Urogynecologic surgery <br> ❑ Urinary retention <br> ❑ Urinary incontinence <br> ❑ Anatomic malformations of the urinary tract <br> ❑ Increased susceptibility to UTIs <br> ❑ Allergies to latex condoms or spermicices</div>|}} | '''Obtain a detailed history:''' <br> ❑ [[urinary catheterization|Use of urinary catheters]] <br> ❑ [[Pregnancy]] <br> ❑ [[Diabetes]] <br> ❑ Female and sexually active <br> ❑ Renal problems <br> ❑ Menopausal <br> ❑ [[Sickle cell disease]] <br> ❑ [[Elderly]] <br> ❑ Antibiotic use <br> ❑ Urogynecologic surgery <br> ❑ [[Urinary retention]] <br> ❑ [[Urinary incontinence]] <br> ❑ Anatomic malformations of the urinary tract <br> ❑ Increased susceptibility to UTIs <br> ❑ Allergies to latex condoms or spermicices</div>|}} | ||
{{familytree | | | | |!| | | | | | | | | | | | | | |}} | {{familytree | | | | |!| | | | | | | | | | | | | | |}} | ||
{{familytree | | | | B01 | | | | | | | | | | | | B01= | {{familytree | | | | B01 | | | | | | | | | | | | B01=<div style="float: left; text-align: left; line-height: 150% ">'''Examine the patient:''' <br> ❑ Suprapubic tenderness <br> ❑ Flank pain or costovertebral angle tenderness <br> ❑ Tender prostate</div>}} | ||
{{familytree | | | | |!| | | | | | | | | | | | | | | |}} | {{familytree | | | | |!| | | | | | | | | | | | | | | |}} | ||
{{familytree | | | | C01 | | | | | | | | | | | | C01= | {{familytree | | | | C01 | | | | | | | | | | | | C01=<div style="float: left; text-align: left; line-height: 150% ">'''Consider alternative diagnosis:''' <br> ❑ [[Urethritis]] <br> ❑ [[Prostatitis]] <br> ❑ Renal abscess</div>}} | ||
{{familytree | | | | |!| | | | | | | | | | | | | | | |}} | {{familytree | | | | |!| | | | | | | | | | | | | | | |}} | ||
{{familytree | | | | D01 | | | | | | | | | | | | D01= | {{familytree | | | | D01 | | | | | | | | | | | | D01=<div style="float: left; text-align: left; line-height: 150% "> '''Order tests:'''<br> ❑ [[Urine culture]] <br> ❑ [[Urinalysis]] <br> ❑ [[Blood culture]] <br> ❑ Abdominal CT <br> ❑ Renal ultrasound scan <br> ❑ [[Voiding cystourethrogram]] <br> ❑ [[Intravenous pyelogram]]</div>}} | ||
{{familytree/end}} | {{familytree/end}} | ||
Revision as of 17:27, 3 March 2014
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ogheneochuko Ajari, MB.BS, MS [2]
Introduction
A urinary tract infection is a bacterial infection that affects any part of the urinary tract.
Causes
Life Threatening Causes
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.
Urinary tract infection does not have life threatening causes.
Common Causes
- Escherichia coli
- Klebsiella pneumonia
- Neisseria gonorrhea
- Proteus mirabilis
- Pseudomonas aeruginosa
- Staphylococcus saprophyticus
- Urinary catheterization
Management
Shown below is an algorithm depicting the initial approach to UTI.
Characterize the symptoms: ❑ Fever ❑ Dysuria ❑ Frequent urination ❑ Suprapubic pain ❑ Hematuria ❑ Vomiting ❑ Diarrhea ❑ Nausea ❑ Flank pain or back pain ❑ Weak stream ❑ Hesistancy ❑ Nocturia ❑ Chills ❑ Urethral discharge Obtain a detailed history: ❑ Use of urinary catheters ❑ Pregnancy ❑ Diabetes ❑ Female and sexually active ❑ Renal problems ❑ Menopausal ❑ Sickle cell disease ❑ Elderly ❑ Antibiotic use ❑ Urogynecologic surgery ❑ Urinary retention ❑ Urinary incontinence ❑ Anatomic malformations of the urinary tract ❑ Increased susceptibility to UTIs ❑ Allergies to latex condoms or spermicices | |||||||||||||||||||||||||||||||||||||||||
Examine the patient: ❑ Suprapubic tenderness ❑ Flank pain or costovertebral angle tenderness ❑ Tender prostate | |||||||||||||||||||||||||||||||||||||||||
Order tests: ❑ Urine culture ❑ Urinalysis ❑ Blood culture ❑ Abdominal CT ❑ Renal ultrasound scan ❑ Voiding cystourethrogram ❑ Intravenous pyelogram | |||||||||||||||||||||||||||||||||||||||||