Nsg 554- Exam 4 |77 Questions And Answers.

Common organisms for chronic bacterial prostatitis {Ans: gram - = klebseilla, acinetobacter, pseudomonas, proteus mirabellis, enterococcus}chronic bacterial prostatitis: laboratory findings {Ans: -urinalysis normal unless secondary cystitis is present -expressed prostatic secretions or post prostatic massage increased numbers of leukocytes >5-10 per high powered field -bacterial growth when cultured -cultures of secretions/massage/urine necessary for diagnosis -if no organisms are identified on culture = nonbacterial prostatitis, chronic pelvic pain or interstitial cystitis should be suspected}Pelvic inflammatory disease: additional criteria {Ans: -no single historical, physical, laboratory finding is definitive for PID -Criteria for specificity of dx: 1. oral temp >38.3C 2. abnormal cervical/vaginal discharge with white cells on saline microscopy (>1 leukocyte per epithelial cell) 3. elevated erythrocyte sedimentation rate 4. elevated C-reactive protein 5. laboratory documentation of cervical infection w/n. gonorrhea or chlamydia culture should be performed routinely but tx should not be delayed while awaiting results}Trichomonas vaginalis vaginitis {Ans: -STI protozoal flagellate infects vaginal, skene ducts, lower urinary tract in women; lower genitourinary tract in men}Vulvovaginal candidiasis {Ans: -R/F include pregnancy, DM, use of broad spectrum abx or corticosteroids -Heat, moisture, occlusive clothing increase risk}Grave's Disease {Ans: -Most common cause of thyrotoxicosis -Autoimmune disorder affecting