Uti in pregnancy

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This presentation done by 6th medical students Any mistake "if there" is from the sources

Health & Medicine

UTI IN PREGNANCY
*DIAGNOSIS
L A M Y A A A N W A R A L G H A F L I

OBJECTIVES
•How to assess pregnant women with urinary
tract infection
“History, examination & investigations”

• The usual complaints of increased frequency, nocturia, and
suprapubic pressure are not helpful, because most pregnant
women experience these as a result of:
• Increased pressure from the growing uterus.
• Expanding blood volume.
• Increased glomerular filtration rate.
• Increased renal blood flow.

Asympto
m-atic
bacteriuria
No symptomsUrethritis
Ectopic
pregnancy
Nephrolith
i-asis
Lower
urinary tract
infection
CystitisCervicitis
Upper
urinary tract
infection
Pyelonephritis Vaginitis
DDx

EXAMINATION
- Consider:
• Duration of pregnancy.
• Gravid uterus.
- Pelvic examination to rule out vaginitis or cervicitis.
- Assessment of the fetal heart rate. “Why ??”

Dysuri
a
Hematuri
a
urgenc
y
Frequenc
y
Suprapubi
c pain
Tendernes
s
Cystitis

Costovertebral
angle tenderness
Flank pain &
tenderness
Anorexia
Nausea &
vomiting
Shaking chills
Hyperthermia
>38C or
hypothermia <34C
Pyelonephriti
s

INVESTIGATIONS
• Culture.
• Urinalysis.
• Dipstick testing.
• Complete blood count (CBC)
• Serum electrolytes
• Blood urea nitrogen (BUN)
• Serum creatinine
• Ultrasonography.
• Intravenous pyelography.
• Urine cytology.
• Sulfosalicylic acid (SSA) testing.

REFERENCES
• http://emedicine.medscape.com
• Where Women Have No Doctor book,

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ABSTRACT: Nocturnal enuresis or night time urinary incontinence, commonly called bedwetting or sleep wetting, is involuntary urination while asleep after the age at which bladder control usually occurs. Bedwetting is a common childhood urologic complaint and one of the most common pediatric health issues. Enuresis is notoriously difficult to treat and is frequently related to psychological factors. The emotional impact of enuresis on a child and family is considerable. Children with enuresis are commonly punished and are at risk for emotional and physical abuse. Numerous studies of children with enuresis report feelings of embarrassment and anxiety, loss of self-esteem, and effects on self-perception, interpersonal relationships, quality of life, and school performance. The condition can be successfully treated with homoeopathic medicines but require a long term follow – up. The present article focuses on management of this medical condition with our medicines.

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