mindmap - UTI

UTI

• definitions
  • Bacteriurea
    • bacteria in urine
    • may be asymptomatic / symptomatic
  • UTI
    • presence of a pure growth of >10^5 organisms per mL of frsh MSU
    • lower UTI
      • urethritis
      • cystitis
      • prostatitis
    • upper UTI
      • pyelonephritis
• classifications
  • uncomplicated
  • recurrent
    • with different organism
  • relapsing
    • same organism
• risk factors
  • female
  • sex
  • exposure to spermicide in female
  • pregnancy
  • menopause
  • immunosuppression
  • urinary tract
    • obstruction
    • stones
    • catheter
    • malformations
• diagnosis
  • urine cultures
  • bacteia in gram-stained uncentrifuged urine
  • urinalysis
    • pyuria
    • leukocyte esterase
    • leukocyte casts
      • acute phelonephritis
• symptoms
  • acute pyelonephritis
    • symptoms develop quickly hours/ days
    • systemic manifestations
      • febrile
      • chills
      • rigor
      • nausea
      • vomiting
      • diarrhea
    • pain on palpation
      • deep
      • renal angle
    • oliguria if ARF
  • cystitis
    • dysurea
    • frequency
    • urgency
    • suprapubic pain
    • urine
      • cloudy
      • malodorous
      • sometimes bloody
    • systemic signs
      • usually absent
    • 1/3 patient have silent upper UTI as well
  • prostatitis
    • flu-like symptoms
    • low backache
    • few urinary symptoms
    • swollen / tender prostate on DRE
• organisms
  • E-coli main organism in uncomplicated
    community acquired UTI (70-80%)
    urologic manipulation, calculi, obstruction
    • E-coli
    • Proteus
    • Klabsiella
    • Enterobacter
    • Serratia
    • Psudomonas
    stone formation and calculi
    • proteus
    • Klabsiella