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Pyuria

Pyuria refers to the presence of white blood cells or pus in the urine. It is most commonly caused by a urinary tract infection but can also be due to other infections, renal stones, tuberculosis, or cancer if no infection is present. Common symptoms include cloudy urine, pain or discomfort when urinating, and fever. Laboratory tests like a urinalysis and urine culture can detect white blood cells in the urine and identify any causative organisms. Treatment depends on the underlying cause but usually involves a course of antibiotics if a bacterial infection is found.

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Ria Puji Pangestuti
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193 views

Pyuria

Pyuria refers to the presence of white blood cells or pus in the urine. It is most commonly caused by a urinary tract infection but can also be due to other infections, renal stones, tuberculosis, or cancer if no infection is present. Common symptoms include cloudy urine, pain or discomfort when urinating, and fever. Laboratory tests like a urinalysis and urine culture can detect white blood cells in the urine and identify any causative organisms. Treatment depends on the underlying cause but usually involves a course of antibiotics if a bacterial infection is found.

Uploaded by

Ria Puji Pangestuti
Copyright
© © All Rights Reserved
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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Pyuria

Dr.Diana Pramono,SpKK

What is Pyuria?

pus or too many white blood cells in


the urine
most normally urinary tract infections
renal stones, tuberculosis, or
cancer(if no infection)
inflammatory response

Pyuria Causes

Infection STI disease such as


chlamydia or gonorrhea can cause white
cells in the urine
Other infections, such as viral infections,
mycoplasma, anaerobic bacteria,
fastidious bacteria, fungal infections or
even tuberculosis can give white cells in
the urine
For males, an infection of the prostate
can cause pus in the urine.

URETRITIS (MAN)

URETRITIS GO URETRITIS NON GO

URETRITIS SPESIFIK

URETRIRIS
NON

SPESIFIK
4

SPECIFIC
Chlamydia trachomatis.
Ureaplasma urealyticum
Trichomonas vaginalis
Jamur
Herpes Simplex
Adenovirus
Haemophilus sp
Bacteriodes urealyticum

NON SPECIFIC

Non Infectionglucocorticoid
medications can also cause pus or
high white blood cells
Some mechanical annoyance from
trauma such as kidney stones can be
a cause
Tumors either benign or malignant
can also cause white cells in the
urine

Symptoms
Symptoms which usually cause the
individual to see their physician
include:
Cloudy urine
pyuria
Foul-smelling urine
Frequent urgent need to urinate
Discomfort / pain on urinating
Fever

Objective
MUE oedem, erythema
Ectropion
secret seromucous-purulent

Laboratory Examination

common test is the urinalysis


microscopic exam of the urine will
detect exactly how numerous the
white cells are
A urine culture can also be performed
to determine whether there is a
bacterial infection and identify the
causative organism

(Women)

Cervicitis
Lower genital tract infection
Pelvic Inflammatory Disease
Non Specific Genital Infection

10

asymptomatic
Symptomps complication +
Risk Factor:
Couple had STI
Multiple partners
Ever had STI
Commercial sex workers
Sexually active age

11

CERVICITIS

Symptomps:

discharge mukopurulent
hypertrophic ectopia
postcoital bleeding
Spotting

Suspect Cervicitis :

Cervix swab PMN > 15


Erythema, oedema, bleeding

C. trachomatis serotype G squamous


cell carcinoma (SCC)
12

PELVIC INFLAMMATORY DISEASE (PID)

Severe complication of lower genital tract


infection
Clinical sign:

endometritis subclinic
Salpingitis
peritonitis pelvis
Periapendisitis
Perihepatitis

Laboratory Exam:
laparoscopy (gold standart)
biopsy endometrium

13

PELVIC INFLAMMATORY DISEASE (PID)


Minimum criteria in PID :
Lower abdomen tenderness
Bilateral adnexal tenderness
Cervical motion tenderness
No evidence of competeting dx
(pregnancy, acute appendicitis)

14

Pyuria Treatment

Treatment of high white cells or pus in the urine


depends on the underlying cause
If it is any infectious disease of the urinary tract,
antibiotics usually are prescribed including:
Norfloxacin
Ampicillin
Minocycline
Levofloxacin
Ciprofloxacin
Amoxicillin
Doxycycline

INFEKSI PADA WANITA.


60-80% ASIMPTOMATIS.
KELUHAN :
VAGINAL DISCHARGE
DISURI
INTERMENSTRUAL

BLEEDING

MENORRHAGIA
NYERI PUNGGUNG

17

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