A 28 white female calls the office frequently requesting antibiotics for symptoms of a UTI.

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.