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Dr. Paul Katongole
The document outlines the classification of urinary tract infections into upper (pyelonephritis) and lower (cystitis, urethritis, prostatitis) categories. It lists typical presenting symptoms such as dysuria, frequency, hematuria, fever, and flank pain, and describes physical exam findings like costovertebral angle tenderness and prostate tenderness. Common causative organisms are identified, with Escherichia coli predominating in cystitis and prostatitis, and Chlamydia trachomatis and Neisseria gonorrhoeae in urethritis. Diagnostic approaches include dipstick urinalysis, urine culture, and targeted testing for sexually transmitted pathogens. Recommended antimicrobial regimens are provided for uncomplicated cystitis, prostatitis, and urethritis, emphasizing antibiotic selection based on resistance patterns and patient factors.
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