UTI mind map
- Created by: ElaineT29
- Created on: 19-10-22 22:24
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- LUTI = Bladder and below
- Bacteria ascend ureters from lower tract
- bacterias unique pili allow them to adhere to renal parenchyma
- bacterial proliferation
- UUTI (Pyelonephritis) = above bladder
- Impairment of body's usual defence system, stagnant urine, iatrogenic growth surfaces allow bacterial accumulation
- PREDISPOSING FACTORS = immunocompromised, diabetes, elderly, female, pregnancy, obstruction, catheters
- bacterial proliferation
- bacterias unique pili allow them to adhere to renal parenchyma
- Bacteria ascend ureters from lower tract
- Usual pathogens = E.coli, enterococcus, Klebsiella
- PATHOGENESIS
- Clinical Findings
- Inflammatory response initiated
- Inflammation of renal parenchyma and capsule
- Costovertebral angle tenderness
- Flank Pain
- Cytokines released systemically
- Increased WBC on FBC
- Fever, Malaise, nausea or vomiting
- WBC's onsite release enzymes
- Urine findings = increased WBC, +bacterial culture, +nitrates, +leukocytes, Foul smelling urine, cloudy, hematuria
- Inflammatory response initiated
- Inflammation of renal parenchyma and capsule
- Costovertebral angle tenderness
- Flank Pain
- Cytokines released systemically
- Increased WBC on FBC
- Fever, Malaise, nausea or vomiting
- WBC's onsite release enzymes
- Urine findings = increased WBC, +bacterial culture, +nitrates, +leukocytes, Foul smelling urine, cloudy, hematuria
- Pathogens use enzymes to reduce nitrate to nitrite
- Urine findings = increased WBC, +bacterial culture, +nitrates, +leukocytes, Foul smelling urine, cloudy, hematuria
- Inflammation of renal parenchyma and capsule
- Pathogens use enzymes to reduce nitrate to nitrite
- Inflammatory response initiated
- Urine findings = increased WBC, +bacterial culture, +nitrates, +leukocytes, Foul smelling urine, cloudy, hematuria
- Inflammation of renal parenchyma and capsule
- Unique response of altered fluid status, electrolytes and mental status likely as a result of increased inflammatory cytokines
- Delirium in Elderly
- Bacterial colony irritates urinary epithelium
- Dysuria
- Stimulation of urinary reflex
- Urgency
- Frequency
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