- Social Media9:12Things I Do But Should I: UTI16:35Paper Chase #1 | Calcium and Vitamin D Supplements Don’t Always Help5:50Are You Sure It’s Cellulitis?Free Chapter21:57Paper Chase #2 | When in Doubt, Go Narrow (Spectrum)4:22Lifestyle and Diabetes - Part 217:43Deprescribing in Elderly Patients - A follow-up to January 2018 PC-RAP20:01Paper Chase #3 | Another Cool Cardiology Trial Acronym5:10Vitamin D - An Update!15:44Paper Chase #4 | Ferrous Sulfate vs Iron Polysaccharide Complex in Kids with IDA5:34Suboxone20:22Contralateral Breast Mastectomies18:21Paper Chase #5 | Reporting Conflicts of Interest in Medical Conference Talks5:49The Summary19:06
If a young, healthy woman presents with typical UTI symptoms, should we go ahead and treat empirically? What if the dipstick is negative? According to Bent et al in JAMA, in a woman with typical UTI symptoms, the likelihood of cystitis is 96%! This is high enough to treat empirically. If urinary symptoms are atypical, then the probability of UTI is lower and so a urine dipstick should guide management. When symptoms are atypical, there are 4 major categories of diseases that mimic UTIs: sexually transmitted infections, vulvar and vaginal pathologies, interstitial cystitis or bladder pain syndrome, and urological problems.