Genitourinary

Question 1

Key Findings/Physical Exam:
-dysuria, frequency, urgency
-suprapubic pain, lower back pain
-gross hematuria, turbid urine
-low-grade fever
-urethral discharge
-positive nitrates, pyuria, and hematuria on UA, positive UC

Answer 1

lower tract UTI

Question 2

Key Findings/Physical Exam:
-Hx of lower tract UTI
-sudden onset of systemic symptoms (fever, chills, malaise)
-urinary frequency, urgency, dysuria
-unilateral flank pain, abdominal pain, unilateral costovertebral angle tenderness
-N/V
-gross hematuria
-enlarged kidney on exam
-Pyuria, bacteruria, nitrates on UA, WBCs on microscopy, positive UC

Answer 2

Pyelnonephritis

Question 3

Key Findings/Physical Exam:
-sudden-onset, unilateral, severe pain in the flank
-intermittent, colicky pain
-pain can radiate to lower abdomen, groin, genitals
-N/V
-dysuria, frequency, urgency, low voided volumes
-positive CVA tenderness
-pink, red, or brown urine
-tachycardia
-need for constant movement

Answer 3

Renal colic

Question 4

Key Findings/Physical Exam:
-Hx of vaginal childbirth
-Overweight/obesity
-Hx of pelvic prolapse, pregnancy
-Loss of urine when sneezing, laughing, coughing, jumping, exercising, or increasing abdominal pressure

Answer 4

Stress incontinence

Question 5

Key Findings/Physical Exam:
-Hx of neurological disease or injury, diabetes
-Urinary frequency, intense urgency followed by involuntary loss of urine

Answer 5

Urge incontinence

Question 6

Key Findings/Physical Exam:
-Hx of BPH, neurogenic bladder, diabetes or any other condition that can damage the nerves or bladder
-constant or frequent dribbling of urine

Answer 6

Overflow incontinence