Help! My patient has a UTI… I think

Presented by:

Dr Alice O’Connor

Dr Jo Preston

Dr Iain Wilkinson

Audio-only version:

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Resources:

Anatomy:

The renal angle is between the 12th rib and the spine at the back. The person in the photo is checking for tenderness by firmly percussing over their hand, which is laid over the renal angle. You can also check by gently palpating, which is somewhat kinder if they are very tender.

Image from https://epomedicine.com/

The suprapubic area is sometimes called the hypogastric area. Depending on how distended someone’s bladder is, you generally need to palpate quite low, just above the pubic bone.

Image from https://en.wikipedia.org/wiki/Hypogastrium

Summary of NICE antibiotic guidelines for uncomplicated UTI:

NICE interactive flowchart for UTI

NICE sepsis algorithm

MDTea Podcast episode on Urinary Tract Infection:

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