Genitourinary Screen Flashcards
Gender identity
Internal sense of being male, female, or neither
Transgender, transsexual, trans, gender non-binary, incongruent
Gender ID does not align with their sex record at birth.
Gender Expression
communicates gender ID (appearance, name, pronouns)
Cisgender, non transgender
Persons whose gender ID aligns with sex record at birth
Gender affirming hormone treatment and surgeries
Medical interventions that transgender persons might consider to alight appearance and gender identity
Gender transition, affirmation, confirmation
Overall process of alignment of physical characteristics or gender expression
Gender dysphoria
Discomfort due to nonalignment between gender ID and sex recorded at birth Not all trans have dysphoria
Dark Brown Urine
Hepatic or biliary obstructive disease Rhabdomylosis
Reddish Urine
Occurs with many GI Vegetable dyes, beets
Medications Pyridium
Dark yellow/Amber urine
Dehydration
Screening Questions for Urine
Do you have any trouble with the bathroom?
How long noticed?
Is there history?
Do you have a upper respiratory tract infection or sore throat?
Have you noticed if it starts clear and changes color?
Associated symptoms? fever?
What are possible causes for Increased urine flow (frequency or urgency)
Nocturia = increased frequency at night urgency is hallmark symptom of UTI Increased output = Polyuria (Diabetes)
What are possible causes for urine retention?
Obstructive disorders (prostate hyperplasia, BPH) Cauda Equina syndrome (w/ LBP and saddle anesthesia)
What are possible causes for dysuria?
Painful urination Common with bacterial infections of urinary tract Cystitis or bladder infection if lower in tract
What are possible causes for force of stream or difficulty initiating urine?
BPH
Renal Failure
Incontinence 4 types
Common in adults 4 types
Stress: increased pressure (cough sneeze, laugh, exercise)
Urge: strong desire to void with involuntary loss (triggers)
Mixed - combination of stress and urge
Overflow - over distension of the bladder, obstruction by prostate hyperplasia or urethral or genital prolapse
What is a red flag with incontinence?
Onset of cx-spine pain concurrent - possible compression of spinal cord - Evaluate/treat for cervical disk protrusion
Reproductive tract: Discharge
From penis or vagina = possible infection (UTI)
Possible STD/UTI = needs to be diagnosed and treated to protect overall health and fertility
Questions: is there odor? color? sporadic? associated symptoms itching, local pain, inflammation ,fever, nausea?
Reproductive tract: Pain
Dyspareunia = pain during or after intercourse
May report mechanical low back/SI/Hip pain
Mechanical: intercourse position relationship Pelvic floor/organ - regardless of position
Erectile dysfunction - Can be neuralgic in origin (SCI/Hip- Due to post surgical complications or medications Psychogenic or other medical hx (DM)
Menstruation
Screening is to ID a change from usual pattern
Asses frequency and length of periods
Dysmenorrhea-associated pain
- Primary
- Due to cycle
- Secondary reproductive organ cause (Endometriosis, pelvic inflammatory disease, fibroids, decreased estrogen)
Amenorrhea - cessation of cycle
- Athletes, anorexia, endocrine disorders, pregnancy
Obstetrics History
of pregnancies
Residual sequela, complications or limitations due to pregnancies and deliveries health/fitness prior to pregnacy
Time since delivery
Screening in Prenatal and postpartum patient
