3 - Urinary Tract Disorders Flashcards
s/s of UTdisorder?
pain
- GU pain
- malignancy pain
GU tract pain is usually associated w?
Distention of hollow viscus (obstruction, retention)
Inflammation of organs against its capsule
- prostatitis
- acute pyelonephritis
Malignancy pain?
Late manifestation
Bad sign
Pain patterns?
Pyelonephritis/peritonitis (infection pain)
- constant, wont move
Renal colic (obstruction pain)
- waxes/wanes - moves a lot
Renal pain is located?
CVA - may radiate to umbilicus
Aka ipsilateral testicule/labia
Ureter pain is broken down into?
Proxima obstruction
- scrotum/labia pain
Mid-ureter
- Lower quadrant
Distal obstruction
- vesicle (bladder) irritability
- ureterovesical junction (UVJ) stone
Describe bladder pain
Acute urinary retnetion
- sever subrapubic discomfort
Acute cystitis pain
- distal urethra (associated w urination)
Describe prostatic pain
Associated w inflammation
Radiate to lumbosacral spine, inguinal canals, or lower extremeties
Prostatic enlargement leads to?
Lower urinary tract symptoms (LUTS)
Types of penile pain’/
Flaccid penis
- 2/2 inflammation
- blanitis
- paraphimosis
- STI
Erect penis
- priapism
- peyroni’s disease
Types of testicular pain?
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
LUTS
Irritative voiding symptoms
Obstructive voiding symptoms
Irritative voiding symptoms
Frequency
Urgency
Nocturia
Dysuria
Obstructive voiding symptoms
- Hesitancy
- Decreased force of streem
- Intermittency
- Post-void dribbling
- Double voiding
- Straining
Classifications of incontinence?
Total incontinence
Stress incontinence
Urge incontinence
Overflow incontinence
Cause of hematospermia?
Inflammation of prostate or seminal vesicles
- usually transient and benign
Pneumaturia?
Gas/air in urine
- bubbles in urine
- malodorous
Pneumaturia is caused by?
Fistula between bladder and GI tract
- diverticulitis
- colon cancer
- crohns disease
Urethral discharge is ususally?
STI (MC)
Cancer (if old)
- urethral carcinoma
Fever and UTD?
Common w upper tract
- pyelonephritis
Uncommon w lower tract
- acute cystitis
In men fever with UTD =?
Acute prostatitis or epididymitis
Malignancy
Wt loss and malaise can be cancer but also can be?
CKD
A doctor apologized for keeping an elderly woman waiting so long in his office.
“That’s all right,” she said. “I just thought you’d like to treat my kidney failure while it was in its early stages!”
