MUHAMMAD AFKAR BIN HAJI ISHAK MBBS 2010-2457

•
Sexual intercourse

-
diaphragm &
spermicide use

• antibiotic use

•
history of recurrent UT Is .

F-EUNGAfALtARAT
Escherichia coli Adenoviruses Candida Schistosoma haematobium
Klebsiella Aspergillus Trichomonas
Enterobacter Crypto coccus spp
Pseudomonas
Proteus

Staphylococcus
Mycoplasma
chlamydia
serration
Neifp_
Confirm the final diagnosis by urine culture then biochemical test , serological test and molecular test
,

Indication for UT1

,
bladder tumours , urinary tract stones
,
urethritis
, benign hypertrophy ,

and prostate cancer .

. urethritis
.
Cystitis
Acute urethral
.
syndrome
'
Prostatitis
•
Asymptomatic bacterium'a

-
Pyelonephritis
.
Perinephric abscess

.
Genitourinary TB
upper UT1 (
pyelonephritis )
diabetic
High grade fever , ,
renal punch is
positive and renal abscess in the left
kidney are

indications for
upper UT1

to confirm its bacterial

significant growth

to treat renal abscess , the pus can be drained

through
a catheter that is placed through the skin or with

surgery .

given at first ( Iv )
Antibiotics should also be
, through a vein
 Urethritis associated with sexual activity
, highly

/ / )
" "" " " " " " "" "" " " " "" " " " " " "" " "

Neisseria gonorrhoeae chlamydia trachoma tis

Adenovirus ( UPEC )

Uro pathogenic Escherichia coli

Herpes simplex
Mycoplasma genital ium
Reiter 's syndrome

Trichomonas spp
Urea plasma area lyticum

Multiple sex
partners & she is not
practicing safe sex

Short urethra

estrogen deficiency
P1 blood UT1
group upper
-
 Schistosoma haematobium
with schistosomiasis when larval forms of the
patient gets infected parasite are
-

released by freshwater snails ,

penetrate through the skin when in contact with
infested water

Egg deposition in the bladder wall leads to hae material fibrosis of the bladder

The bladder becomes calcified ,

and there is increased pressure on ureters &

kidneys otherwise known Bladder

as
hydronephros.is .
carcinoma
 Acute prostate tis
'

•
Escherichia coli
. Enter ococci

. Klebsiella pneumonia
. Proteus mirabilis

. Pseudomonas aeruginosa
-
Staphylococcus aureus .

ACUTE CHRONIC

Micro similar to UTIS , urethritis same

clinical Presentation dysuria Milder

Fevers ,
chills , ,
symptoms
Pelvic , perineal pain ,

cloudy urine ,

obstructive
symptoms ,

dribbling of urine

Exam Tender prostate , do not BPH , edema have

, may
do vigorous prostatic non tender prostate
massage

Diagnosis urine culture urine & prostate secretion culture

Treatment FQ , Bactrian FQ

Special considerations more common in if presentation consistent , but cultures

HIV patients
.
negative , consider chlamydia

bacteria cidal the prostate

use
drug ,
as is inflamed these will
, penetrate well &

eradicate the infection

30×10 men has multiple sexual partners are at an increased risk

transmitted bacterial
especially for sexually prostate't's
Chlamydia trachomatis

A small
obligate intracellular
pathogen

.
chlamydia
- Gonorrhea
- Trichomatis
- Urea plasma
urealyticum