Bacterial Cystitis Diagnosis Quiz

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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?

To localize the disease to the appropriate part of the urinary tract Signup and view all the answers

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

Increased frequency of urination Signup and view all the answers

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

Escherichia coli (E. coli) Signup and view all the answers

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

Quantitative Urine Culture Signup and view all the answers

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

Incontinence Signup and view all the answers

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

Failure to void normally Signup and view all the answers

What is the term for difficulty urinating?

Dysuria Signup and view all the answers

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

Escherichia coli (E. coli) Signup and view all the answers

What is the term for straining to urinate?

Stranguria Signup and view all the answers

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

Paraparesis Signup and view all the answers

What is the term for blood in the urine?

Hematuria Signup and view all the answers

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

Urinalysis Signup and view all the answers

What is the term for increased frequency of urination?

Pollakiuria Signup and view all the answers

What is the recommended method for diagnosing bacterial cystitis?

Quantitative urine culture Signup and view all the answers

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

They are likely due to contamination, not infection Signup and view all the answers

What is the recommended treatment duration for sporadic bacterial cystitis?

3-5 days Signup and view all the answers

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

Further investigation to confirm UTI presence Signup and view all the answers

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

Regional resistance patterns Signup and view all the answers

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

Repeat culture 1-2 weeks after treatment discontinuation 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.?

Enrofloxacin for 10 days Signup and view all the answers

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

3-5 days Signup and view all the answers

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

They are proven to prevent bacterial adherence Signup and view all the answers

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

Extended susceptibility pattern confirmation Signup and view all the answers

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

Only after obtaining culture and sensitivity results 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?

Pyelonephritis Signup and view all the answers

What is the definitive diagnostic test for pyelonephritis?

Quantitative urine culture Signup and view all the answers

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

Pyelectasia Signup and view all the answers

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

Empiric abx Signup and view all the answers

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

Chemistry Signup and view all the answers

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

Cylindruria Signup and view all the answers

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

Chronic kidney changes Signup and view all the answers

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

Generally good Signup and view all the answers

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

10-14 days Signup and view all the answers