Pharmacology Grand Rounds Assignment presentation, Week 6 :PHARMACOLOGICAL MANAGEMENT OF URINARY TRACT INFECTION (UTI)

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CASE STUDY • A 25 YEAR OLD WOMAN PRESENTS TO THE COMMUNITY CLINIC COMPLAINING OF INCREASED URINATION FOR 3 DAYS, DYSURIA, AND SENSATION OF INCOMPLETE VOIDING. • SHE PRESENT WITH VITAL SIGNS WI... THIN NORMAL LIMITS, SHE IS CURRENTLY NOT TAKING ANY MEDICATIONS, SHE IS SEXUALLY ACTIVE, AND USES CONDOMS AS BIRTH CONTROL. • SHE DOSE NOT PRESENT WITH FEVER OR CHILLS • SHE PRESENTS WITH NO HISTORY OF SEXUALLY TRANSMITTED DISEASES • HER ABDOMINAL EXAM IS NOTED FOR MILD SUPRAPUBIC TENDERNESS AND NO COSTOVERTEBRAL TENDERNESS PATHOPHYSIOLOGY • LOWER URINARY TRACT INFECTIONS (CYSTITIS) START PERIURETHRAL CONTAMINATION BY A UROPATHOGEN WHICH RESIDES IN THE GUT, FOLLOWED BY COLONIZATION OF THE URETHRA AND, FINALLY, MIGRATION BY THE FLAGELLA AND PILI OF THE PATHOGEN TO THE BLADDER OR KIDNEY (MCLELLAN & HUNSTAD, 2016). [Show More]

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