CBL: OAT of Renal Patient

Question 1

Frequent urination and urinary urgency associated with BPH are what kind of sx’s (storage, voiding, or irritative)?

Answer 1

Irritative sx’s

Question 2

What does symmetric enlargement and firmness of the prostate that is non-tender on DRE indicate?

Answer 2

BPH (cancer would be more nodular and asymmetric)

Question 3

Urinalysis for evaluation of what is the most valuable labraotry diagnostic test for UTI?

Answer 3

Pyuria –> present in almost all men w/ acute cystitis or pyelonephritis

Question 4

Which drug class will exacerbate sx’s of BPH by preventing bladder contraction and worsening voiding sx’s?

Answer 4

Antihistamines

Question 5

In ureteral obstruction, which system dilates to help the kidney concentrate urine?

Answer 5

Lymphatics –> highlights importance of lymphatic OMT

Question 6

Viscerosomatic levels of prostate?

Answer 6

T11-L2

Question 7

Chapman’s point for prostate is where?

Answer 7

Myofascial tissue along posterior margin of IT band

Question 8

If you suspect blood in the urine or pt reports urine being darker would should be ordered to determine if there is hematuria/determine the urine pH

Answer 8

Urinalysis

Question 9

Which imaging modality for nephrolithiasis has the highest diagnostic accuracy (preferred for uric acid nephrolithiasis), reliably detects hydronephrosis, but is associated with ionizing radiation?

Answer 9

Noncontrast CT abdomen and pelvis

Question 10

For suspected uric acid nephrolithiasis, uric acid levels in which body fluid should be checked?

Answer 10

SERUM uric acid levels

Question 11

For biomechanical model of OMT you may consider a spasm of which muscle affecting hip motion if ureter is involved in nephrolithiasis?

Answer 11

Psoas

Question 12

There may be no specific indication in which patients with hx of uric acid stones and gout for xanthine oxidase inhibitor therapy?

Answer 12

≤ 1 flare of gouty arthitis per year