3 - Urinary Tract Disorders

Question 1

s/s of UTdisorder?

Answer 1

pain

• GU pain
• malignancy pain

Question 2

GU tract pain is usually associated w?

Answer 2

Distention of hollow viscus (obstruction, retention)

Inflammation of organs against its capsule

• prostatitis
• acute pyelonephritis

Question 3

Malignancy pain?

Answer 3

Late manifestation

Bad sign

Question 4

Pain patterns?

Answer 4

Pyelonephritis/peritonitis (infection pain)
- constant, wont move
Renal colic (obstruction pain)
- waxes/wanes - moves a lot

Question 5

Renal pain is located?

Answer 5

CVA - may radiate to umbilicus

Aka ipsilateral testicule/labia

Question 6

Ureter pain is broken down into?

Answer 6

Proxima obstruction
- scrotum/labia pain

Mid-ureter
- Lower quadrant

Distal obstruction

• vesicle (bladder) irritability
• ureterovesical junction (UVJ) stone

Question 7

Describe bladder pain

Answer 7

Acute urinary retnetion
- sever subrapubic discomfort

Acute cystitis pain
- distal urethra (associated w urination)

Question 8

Describe prostatic pain

Answer 8

Associated w inflammation

Radiate to lumbosacral spine, inguinal canals, or lower extremeties

Question 9

Prostatic enlargement leads to?

Answer 9

Lower urinary tract symptoms (LUTS)

Question 10

Types of penile pain’/

Answer 10

Flaccid penis

• 2/2 inflammation
• blanitis
• paraphimosis
• STI

Erect penis

• priapism
• peyroni’s disease

Question 11

Types of testicular pain?

Answer 11

Acute scrotal pain w radiation to ipsilateral groin
- trauma, torsion, orchitis

Varicocele/hydrocele
- scrotal heaviness w/o radiation

Testitis
- DO of kidney, retroperitoneal structures or inguinal canal

Chronic pain
- varicocele, epididymitis, post vascetomy, orchalgia

Question 12

LUTS

Answer 12

Irritative voiding symptoms

Obstructive voiding symptoms

Question 13

Irritative voiding symptoms

Answer 13

Frequency
Urgency
Nocturia
Dysuria

Question 14

Obstructive voiding symptoms

Answer 14

• Hesitancy
• Decreased force of streem
• Intermittency
• Post-void dribbling
• Double voiding
• Straining

Question 15

Classifications of incontinence?

Answer 15

Total incontinence
Stress incontinence
Urge incontinence
Overflow incontinence

Question 16

Cause of hematospermia?

Answer 16

Inflammation of prostate or seminal vesicles

• usually transient and benign

Question 17

Pneumaturia?

Answer 17

Gas/air in urine

• bubbles in urine
• malodorous

Question 18

Pneumaturia is caused by?

Answer 18

Fistula between bladder and GI tract

• diverticulitis
• colon cancer
• crohns disease

Question 19

Urethral discharge is ususally?

Answer 19

STI (MC)

Cancer (if old)
- urethral carcinoma

Question 20

Fever and UTD?

Answer 20

Common w upper tract
- pyelonephritis

Uncommon w lower tract
- acute cystitis

Question 21

In men fever with UTD =?

Answer 21

Acute prostatitis or epididymitis

Malignancy

Question 22

Wt loss and malaise can be cancer but also can be?

Answer 22

CKD

Question 23

A doctor apologized for keeping an elderly woman waiting so long in his office.

Answer 23

“That’s all right,” she said. “I just thought you’d like to treat my kidney failure while it was in its early stages!”