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

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

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

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

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

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

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.

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

11. ANY QUESTIONS ??