Dysuria Flashcards

1
Q

Definition of Dysuria

A

Pain or discomfort associated with urination that is localized to the bladder or urethra

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2
Q

Common complain among …

A

healthy women

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3
Q

What is it typically caused by?

A

Urinary Tract Infection

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4
Q

Extensive work up?

A

NO

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5
Q

DDx for Women of Reproductive Age (6)

A
  1. Lower tract UTI - VERY COMMON!!!
  2. Vaginitis - COMMON
  3. Pyelonephritis - UNcommon
  4. Urethritis - UNcommon
  5. Perineal trauma - UNcommon
  6. Interstitial cystitis - UNcommon
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6
Q

Distinguishing symptoms and signs for:

Lower Tract UTI

A

Nocturia (WAKING UP TO PEE)

Cloudy or malodorous urine (CLOUDY AND SMELLY PEE!)

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7
Q

Distinguishing symptoms and signs for:

Vaginitis

A
DISCHARGE
Perineal pruritus (ITCHING!!!)
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8
Q

Distinguishing symptoms and signs for:

Pyelonephritis

A

Fever - RED FLAG!!!
Flank Pain - RED FLAG!!!
CVA Tenderness

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9
Q

Distinguishing symptoms and signs for:

Urethritis

A

ahhhh shit idk

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10
Q

Distinguishing symptoms and signs for:

Perineal Trauma

A

Evidence of trauma and tenderness on exam

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11
Q

Distinguishing symptoms and signs for:

Interstitial Cystitis

A

FREQUENCY and URGENCY for 6 months… w/ negative workup

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12
Q

DDx for Older Women

A

Vaginal atrophy - COMMON

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13
Q

Distinguishing symptoms and signs for:

Vaginal Atrophy

A

Vaginal mucosal atrophy on examination

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14
Q

DDx to consider for MEN

A
  1. Prostatitis - COMMON

2. Urethritis - UNCOMMON!!!

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15
Q

Distinguishing symptoms and signs for:

Prostatitis

A

HESITANCY (holding back)
URGENCY w/ DECREASED urine flow (feels like they have to go but only a couple drips comes out)
TENDER PROSTATE

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16
Q

Distinguishing symptoms and signs for:

Urethritis (MEN)

A

Urethral DISCHARGE

Dysuria LOCALIZE TO PENIS (dingaling hurts)

17
Q

What does the pain feel like?

A

“burning” “sharp”

18
Q

Are you urinating more frequently?

A

Increased frequency

19
Q

When you attempt to urinate, do you have trouble w/ initiation?

A

Hesitancy

20
Q

Do you have a decrease in the stream of urine?

A

Kidney stone, prostatitis

21
Q

Does your urine have a foul order?

A

Lower tract UTI?

22
Q

Blood in urine?

A

Hematuria

23
Q

What color is your urine? Cloudy?

A

Pyuria

24
Q

Vaginal / penile discharge?

A

Think STI

25
Q

Vaginal Itching?

A

Vaginitis

26
Q

Do you feel a sudden urge to urinate?

A

URGENCY!

27
Q

Do you feel there is urine left in your bladder after urination?

A

Post-void residual

28
Q

Do you have any abdominal or back pain? Where?

A

could point to kidney stones??

29
Q

Fevers, nausea or vomiting

A

Think: pyelonephritis, PID (pelvic inflammatory disease), epididymitis

30
Q

Do you have constipation?

A

ask this

31
Q

Are you sexually active? Male, female or both? How many partners? Do you use protection?
Painful intercourse?
Female –> W/ insertion? Deep penetration?

A

Painful intercourse –> dyspareunia

w/ insertion –> vaginitis, dryness/trauma
deep penetration –> PID, endometriosis, pelvic mass

32
Q

Increased urination at night?

A

Nocturia

33
Q

RED FLAGS for DYSURIA (indicate complicated infection)

A
  1. MALES
  2. Infants or elderly
  3. Symptoms more than 7 days
  4. Immunosuppressing condition
  5. Episode of acute pyelonephritis within the past year
  6. Known anatomic abnormality
  7. Diabetes mellitus
  8. FEVER
  9. Flank pain or tenderness