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Uti in pregnancy

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Uti in pregnancy

  1. 1. UTI IN PREGNANCY *DIAGNOSIS L A M Y A A A N W A R A L G H A F L I
  2. 2. OBJECTIVES •How to assess pregnant women with urinary tract infection “History, examination & investigations”
  3. 3. • 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.
  4. 4. Asympto m-atic bacteriuria No symptomsUrethritis Ectopic pregnancy Nephrolith i-asis Lower urinary tract infection CystitisCervicitis Upper urinary tract infection Pyelonephritis Vaginitis DDx
  5. 5. EXAMINATION - Consider: • Duration of pregnancy. • Gravid uterus. - Pelvic examination to rule out vaginitis or cervicitis. - Assessment of the fetal heart rate. “Why ??”
  6. 6. Dysuri a Hematuri a urgenc y Frequenc y Suprapubi c pain Tendernes s Cystitis
  7. 7. Costovertebral angle tenderness Flank pain & tenderness Anorexia Nausea & vomiting Shaking chills Hyperthermia >38C or hypothermia <34C Pyelonephriti s
  8. 8. 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.
  9. 9. REFERENCES • http://emedicine.medscape.com • Where Women Have No Doctor book,
  10. 10. ANY QUESTIONS ??

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