Renal

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Author:
redpursuit
ID:
11390
Filename:
Renal
Updated:
2010-03-20 19:42:42
Tags:
Renal
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Description:
Renal
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  1. Most common type of bacterial disease and 2nd most common type
    • 1. E-coli
    • 2. UTI's
  2. UTI risk factors
    • Improper handwashing & caths
    • DM, females, older age, Cr. >2.0
  3. Source of UTI's
    • Ascending route infections
    • GN bacilli, some gram +
    • Urologic instruments
  4. Classification of UTI's
    • Upper-Pyelo
    • Lower-Cystitis
    • Comp vs. Uncomp
    • Relapse vs. reinfection
  5. Pyelo vs. UTI Symptoms
    Pyelo= presence of fever, flank pain, CVA tenderness, N/V

    UTI= freq., urgency, may have suprapubic pain, dysuria, maladorous urine, pyuria
  6. Treatment
    • —Resistance patterns
    • vary geographically. In US >25% of E.coli strains are resistant to amoxicillin, sulfa drugs, cephalexin

    • —Uncomplicated
    • cystitis can be routinely treated with a 3 day course of Septra/ Bactrim (95% effective in
    • most cases)

    —Also consider flouroquinolones


    —Cephalosporins

    —Pyridium (analgesic effect)
  7. Chronic Pyelonephritis
    • —Aka :chronic
    • interstitial nephritis

    • —Usually the end
    • result of long standing UTIs


    • —Chronic inflammation
    • and scarring of the kidneys

    • —IVP, renal biopsy,
    • renal u/s or CT may be useful
    • in delineating the severity

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