Question

A 28 white female calls the office frequently requesting antibiotics for symptoms of a UTI. She comes in for a visit 4-6 times yearly for dysuria, urgency, frequency and receives treatment for a positive urine for infection. She uses a combination low-dose OCP for contraception. She and her husband have sexual intercourse 1-2 times most weeks. On close questioning the patient, she usually washes her perineum before and gets up and empties her bladder after intercourse. In spite of this, she has recurrent ( ? 3 per year or 2 or more in 6 months) UTI’s that always occurs within 12 hours of intercourse. Today, she calls complaining of UTI symptoms and asks, “What can I do to prevent this from happening?”

1. What does UTI stand for? ( 2 points)

2. List the typical symptoms this patient complains of when she experiences a UTI? Make sure to define each one (9 points)

3. What is the perineum (2 points) and why would it beneficial for a person with recurrent UTIs to wash this area before intercourse? (2 points)

4. What is the purpose of emptying the bladder post intercourse? ( 2 points)

5. What is the most common organism to cause UTIs ( 2 points) and where in the body is this organism part of the normal flora? (2 points)

6. Who is at a higher risk of UTIs, males or females? ( 2 points) and how does anatomy play a role? ( 2 points)

7. What is meant by an ascending infection ( 2 points) ?

8. If a bladder infection is not treated and these infections are considered ascending infections, what may it then lead to? ( 2 points)

9. Today, she calls complaining of UTI symptoms and asks, “What can I do to prevent this from happening?” List some things that you can suggest that she can do to prevent the reoccurrence of UTIs (3 points)

10. When considering UTIs why may a person experience suprapubic pain ( 2 points) and why may a person experience flank pain? (2 points) base your answer on anatomical considerations.

Answer 1

Ans 1. UTI stands for urinary tract infection.

Ans 2

.Dysuria:painful urination.

Urinary urgency: it is a sudden compelling urge to urinate .

Frequent urination: it is the need to urinate more often than what's the normal routine.

Ans 3. Perineum is the surface are between pubic symphysis and coccyx in both males and females .

Perineal hygiene intercourse remove pathogenic microorganisms thereby preventing urinary tract infection.

Ans 4. Emptying bladder after intercourse helps to flush bacteria.

Ans 5.The most common organism to cause UTI isEscherichia Coli ( E.Coli).

It is the normal flora of gastrointestinal tract.

Ans 6. Females are at higher risk of developing UTI more than males because females have shorter urethra which cuts down on the distance that bacteria must travels to reach the women's bladder.