Presentation
In these situations, a doctor may prescribe one or more antibiotics that are likely to cure infection that may be present. [webmd.com]
Satellite vaginal pustules are sometimes present in patients with vaginal candidiasis, and grouped painful vesicles and tender inguinal adenopathy may be present in patients with genital herpes. [aafp.org]
Improve your interpretation of presenting symptoms with 38 new topics and 40 new images in the Differential Diagnosis section, and optimize patient care with more than 250 new figures and tables. [books.google.com]
Urine cultures are over-used in evaluating patients with cystitis; for young woman with symptoms who are presenting with an initial presentation consistent with cystitis and without concern for complications, empiric antibiotic treatment can be done without [clinicaladvisor.com]
Urogenital
- Dysuria
[…] primary genital herpes as the cause of dysuria. [aafp.org]
Cystitis is usually associated with painful urination (dysuria), increased frequency, urgency, and suprapubic pain. [automatedclinical.com]
Symptoms and Signs In women, symptoms range from none to copious, yellow-green, frothy vaginal discharge with soreness of the vulva and perineum, dyspareunia, and dysuria. [merckmanuals.com]
The use of spermicides may cause a chemical urethritis, with associated dysuria findings that mimic those of infectious urethritis. [antimicrobe.org]
Other common symptoms include vulval itching, dysuria or offensive odour. Lower abdominal discomfort can occur in some women. There may be signs of local inflammation with vulvitis and vaginitis. [patient.info]
- Prostate Tenderness
For cystitis: Check for presence of suprapubic or lower abdominal tenderness, no costovertebral angle tenderness, no epididymal tenderness or prostatic tenderness on exam. [clinicaladvisor.com]
tenderness, boggy texture on palpation Acute prostatitis Prostatic massage contraindicated May require parenteral treatment Milder cases can be treated with same regimen as for epididymitis Unilateral pain, tenderness or swelling of testes or epididymis [aafp.org]
Workup
The symptoms are progressive, and workup commonly results in negative urine cultures. [clinicaladvisor.com]
Renal and pelvic ultrasound, computed tomography (CT) urogram, magnetic resonance imaging (MRI), intravenous or retrograde pyelography, or urodynamic studies may be indicated in the workup of causes for recurrent UTI. [infectiousdiseaseadvisor.com]
Treatment
Treatment Basic information Diagnosis Treatment Basic information Diagnosis Treatment Pearls considerations Basic information Diagnosis Treatment Pearls considerations Basic information Diagnosis Treatment Pearls considerations Basic information Diagnosis [books.google.com]
Retest women within 3 months of treatment. Avoid alcohol during treatment with standard agents. Treatment does not reduce risk of adve... [5minuteconsult.com]
Treatment In patients with confirmed urethritis, concurrent treatment for gonorrhea and chlamydia is recommended unless test results are already known or rapid results can be obtained to narrow treatment. [aafp.org]
Regular probiotic treatment, consumption of kefir and increased fluid intake are recommended for patients susceptible for re-infection. [belvarosiorvosicentrum.hu]
For bacterial cystitis, empiric treatment is based on symptoms. [clinicaladvisor.com]
Prognosis
Prognosis: Outlook With proper treatment, the chance of a cure is excellent. Potential Complications • Long-term untreated infection may cause abnormal cell changes in the cervix. These changes can be detected in a routine Pap smear. [womens-health-advice.com]
"Prognosis and treatment of desquamative inflammatory vaginitis". Obstet Gynecol. 117 (4): 850–5. doi : 10.1097/AOG.0b013e3182117c9e. PMID 21422855. ^ Tansarli, G. S.; Kostaras, E. K.; Athanasiou, S.; Falagas, M. E. (2013). [en.wikipedia.org]
Prognosis and Patient Counseling. For cystitis, patients should be counseled on methods to reduce the risk of recurrence, including voiding after intercourse and avoiding spermicide or diaphragm use. [clinicaladvisor.com]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
Pathomorphological characteristics of the foci of leukoplakia correlate with the etiology of chronic inflammation and are relevant for etiological diagnosis and treatment. [ijbm.org]
English : BL blood CF cerebrospinal fluid CI chemically induced CL classification CO complications CN congenital DI diagnosis DG diagnostic imaging DH diet therapy DT drug therapy EC economics EM embryology EN enzymology EP epidemiology EH ethnology ET etiology [decs.bvs.br]
Incubation periods ranging from 2 to 35 days have been described, and many men with nongonococcal urethritis develop urethral symptoms within 4 days, so that the incubation period is not a reliable factor in the etiologic diagnosis. [antimicrobe.org]
Bladder biopsies may also be taken to rule out other potential etiologies such as carcinoma in situ. [aafp.org]
Epidemiology
Poole DN, McClelland RS ; Global epidemiology of Trichomonas vaginalis. Sex Transm Infect. 2013 Sep89(6):418-22. doi: 10.1136/sextrans-2013-051075. Epub 2013 Jun 6. [patient.info]
1963-71 Allowable Qualifiers English : BL blood CF cerebrospinal fluid CI chemically induced CL classification CO complications CN congenital DI diagnosis DG diagnostic imaging DH diet therapy DT drug therapy EC economics EM embryology EN enzymology EP epidemiology [decs.bvs.br]
In men, microscopy of urine is insensitive, and NAAT and dipstick tests have not been rigorously validated; however, epidemiologic studies suggest that for NAAT, urethral swabs are better than urine. [merckmanuals.com]
“The epidemiology of urinary tract infection”. Nat Rev Urol. vol. 7. 2010. pp. 653-60. (A nice contemporary review of the epidemiology of UTI.) Hooton, TM. “Clinical practice. Uncomplicated urinary tract infection”. [infectiousdiseaseadvisor.com]
Diagnostic criteria and microbial and epidemiologic associations. Am J Med. 1983 Jan. 74(1):14-22. [Medline]. Andrea SB, Chapin KC. [emedicine.medscape.com]
Pathophysiology
Pathophysiology T vaginalis is approximately the size of a white blood cell (WBC)—about 10-20 μm long and 2-14 μm wide—though its size may vary with physical conditions (see the image below). [emedicine.medscape.com]
Prevention
Treatable - 0% Emergent - ED Care Needed - Preventable/Avoidable - 0% Emergent - ED Care Needed - Not Preventable/Avoidable - 0% Primary diagnosis of injury 0% Primary diagnosis of mental health problems 0% Primary diagnosis of substance abuse 0% Primary [codelay.com]
Centers for Disease Control and Prevention Condom Fact Sheet in Brief (Centers for Disease Control and Prevention) Trichomoniasis (Medical Encyclopedia) Trichomoniasis (Centers for Disease Control and Prevention) [ Read More ] Urinary Tract Infections [icdlist.com]
Rapidly find the answers you need with separate sections on diseases and disorders, differential diagnosis, clinical algorithms, laboratory results, and clinical preventive services, plus an at-a-glance format that uses cross-references, outlines, bullets [books.google.com]
Treating urethritis caused by a virus Urethritis due to the herpes simplex virus can be treated with a number of medications, including: Famciclovir (Famvir) Valacyclovir (Valtrex) Acyclovir (Zovirax) Preventing Urethritis Urethritis can be prevented [beaumont.org]
Preventive Services Task Force. Screening for chlamydial infection: an evidence update for the U.S. Preventive Services Task Force. Ann Intern Med. 2007;147(2):135–142. 30. U.S. Preventive Services Task Force. [aafp.org]