Genitourinary infection: Difference between revisions

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.

Renal/perirenal
Ureteral
- Infected urolithiasis
Bladder
- Acute cystitis ("UTI")
- Chronic cystitis
Urethra/periurethra
- Urethritis
- Prostatitis

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

@@ Line 1: / Line 1: @@
-==Treatment==
+==Background==
+[[File:2605 The Bladder.jpg|thumb|Anatomy of the bladder (male)]]
+[[File:Prostatelead.jpg|thumb|Prostate anatomy]]
+{{UTI types}}
+==Evaluation==
-) Post-menopausal --> 7 dy course (Cipro or Nitro)
+{{Perinephric vs Renal Abscess}}
-) Pregnant --> 7dy course (Nitro or Keflex)
-) Male --> 10dy course (R/O prostatitis, urethritis)
-) Complicated (risk for subclinical pyelonephritis ~25%)
-     i. Structureal urologic abnlty
-     ii. Neurologic dysfx (elderly)
-     iii. Hx of UCI relapse
-     iv. Prior hx of pyelo
-     v. Frequent UTIs
-     vi. Sx >7dys
-     vii. DM or other immunosuppresed
---> increased course vs. admit
-*>3 UTIs/yr = R/O structural abnlty
-Cipro 250mg BID
-Bactrim DS BID
-Nitrofurantoin 100mg BID
-Keflex 250mg QID
 ==See Also==
+*[[Dysuria]]
+*[[Hematuria]]
+*[[Flank pain]]
+*[[UTI (Peds)]]
+[[Category:Renal]]
-Peds: UTI
+[[Category:ID]]
+[[Category:Urology]]
-==Source ==
-/07 DONALDSON (adapted from Tintinalli)
-[[Category:GU]]