Bacterial Cystitis Diagnosis Quiz
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Questions and Answers

What are the cardinal signs of lower urinary tract disease?

  • Dysuria, hematuria, stranguria
  • Polyuria, pollakiuria, incontinence (correct)
  • Proteinuria, glycosuria, ketonuria
  • Anuria, oliguria, polydipsia

    • What is the definition of pollakiuria?

  • Inability to control urination
  • Increased frequency of urination (correct)
  • Increased volume of urine
  • Presence of blood in urine

    • Which part of the urinary tract does polyuria localize the disease to?

  • Kidneys (correct)
  • Lower urinary tract
  • Urethra
  • Upper urinary tract

    • What is the main job when localizing the disease in the upper urinary tract?

    <p>To localize the disease to the appropriate part of the urinary tract</p> Signup and view all the answers

    Which of the following is a cardinal sign of lower urinary tract disease?

    <p>Increased frequency of urination</p> Signup and view all the answers

    What is the most common cause of urinary tract infections (UTIs) in dogs?

    <p>Escherichia coli (E. coli)</p> Signup and view all the answers

    Which diagnostic test is definitive for UTI when combined with clinical signs?

    <p>Quantitative Urine Culture</p> Signup and view all the answers

    What is the term for unconscious, passive voiding of urine?

    <p>Incontinence</p> Signup and view all the answers

    Which condition may lead to impairment of host defenses in the lower urinary tract?

    <p>Failure to void normally</p> Signup and view all the answers

    What is the term for difficulty urinating?

    <p>Dysuria</p> Signup and view all the answers

    Which organism accounts for approximately 50% of positive cultures in UTIs in cats?

    <p>Escherichia coli (E. coli)</p> Signup and view all the answers

    What is the term for straining to urinate?

    <p>Stranguria</p> Signup and view all the answers

    Which condition is a manifestation of neuromuscular disease and may lead to incontinence?

    <p>Paraparesis</p> Signup and view all the answers

    What is the term for blood in the urine?

    <p>Hematuria</p> Signup and view all the answers

    Which test can detect bacteriuria on sediment and is supportive but not diagnostic for UTI?

    <p>Urinalysis</p> Signup and view all the answers

    What is the term for increased frequency of urination?

    <p>Pollakiuria</p> Signup and view all the answers

    What is the recommended method for diagnosing bacterial cystitis?

    <p>Quantitative urine culture</p> Signup and view all the answers

    What is the significance of isolates with less than 1,000 CFUs in urine culture?

    <p>They are likely due to contamination, not infection</p> Signup and view all the answers

    What is the recommended treatment duration for sporadic bacterial cystitis?

    <p>3-5 days</p> Signup and view all the answers

    What should be considered if an animal is not responding to antibiotic therapy within 48 hours?

    <p>Further investigation to confirm UTI presence</p> Signup and view all the answers

    Before selecting a drug for treatment, what should be confirmed?

    <p>Regional resistance patterns</p> Signup and view all the answers

    What is the recommended follow-up procedure for recurrent bacterial cystitis?

    <p>Repeat culture 1-2 weeks after treatment discontinuation</p> Signup and view all the answers

    What is the appropriate empiric therapy for a 2-year-old female spayed Bulldog with recurrent UTI episodes caused by E. coli and Klebsiella spp.?

    <p>Enrofloxacin for 10 days</p> Signup and view all the answers

    What is the recommended treatment time for reinfection in recurrent bacterial cystitis?

    <p>3-5 days</p> Signup and view all the answers

    What is the significance of proanthocyanidins and D-mannose in the prevention of bacterial cystitis?

    <p>They are proven to prevent bacterial adherence</p> Signup and view all the answers

    What should be considered before using antibiotics for complicated cases of UTI?

    <p>Extended susceptibility pattern confirmation</p> Signup and view all the answers

    When should empiric antibiotics be considered for treatment of recurrent bacterial cystitis?

    <p>Only after obtaining culture and sensitivity results</p> Signup and view all the answers

    What is the most likely cause of the bacteriuria in the 5 yo MC DSH with concentrated urine, 0-1 WBC/hpf, and 3+ cocci in urinalysis?

    <p>Pyelonephritis</p> Signup and view all the answers

    What is the definitive diagnostic test for pyelonephritis?

    <p>Quantitative urine culture</p> Signup and view all the answers

    What is the most definitive finding on abdominal ultrasound for pyelonephritis?

    <p>Pyelectasia</p> Signup and view all the answers

    What is the initial treatment for pyelonephritis after collecting a culture?

    <p>Empiric abx</p> Signup and view all the answers

    What can evidence of comorbidities or predisposing factors be found in during diagnostics of pyelonephritis?

    <p>Chemistry</p> Signup and view all the answers

    What can be evidence of renal tubular damage in urinalysis for pyelonephritis?

    <p>Cylindruria</p> Signup and view all the answers

    What is a potential cause for false negatives in pyelocentesis for pyelonephritis?

    <p>Chronic kidney changes</p> Signup and view all the answers

    What is the prognosis for pyelonephritis if caught early and treated appropriately?

    <p>Generally good</p> Signup and view all the answers

    What is the treatment duration for pyelonephritis if signs of systemic illness are present?

    <p>10-14 days</p> Signup and view all the answers

    When should a patient with pyelonephritis be hospitalized for fluid and supportive therapy?

    <p>All of the above</p> Signup and view all the answers

    What can occur if pyelonephritis progresses to CKD?

    <p>Permanent renal injury</p> Signup and view all the answers

    What is a potential cause of pyelectasia on abdominal ultrasound?

    <p>Ureteral obstruction</p> Signup and view all the answers

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