Genitourinary System Flashcards
Baden-Walker system is
most widespread classification of prolapse
ED is more prevalent in
men with diabetes
Acute Renal Failure
sudden decline in renal function
increase in BUN and creatinine
oliguria, hyperkalemia, sodium retention
Stages of Kidney Disease
1
2
3
4
5
damage with normal GFR (90 or greater)
mild decrease in GFR (60-89)
moderate decrease in GFR (30-59)
severe reduction in GFR (15-29)
kidney failure (GFR less than 15)
Hemodialysis is for those in
advanced and permanent kidney failure
Rehabbing those with renal failure/dialysis:
___ precautions at all times.
Potential for ___ and ____.
Monitor ____ signs.
Avoid BP cuff over ____.
Avoid ____ as they are contraindicated during dialysis.
standard
dehydration and hypotension
vital
fistula
mobilization
Stress urinary incontinence
loss of urine during sneezing, coughing, laughing etc
Urge urinary incontinence
loss of urine after sudden, intense urge to void due to detrusor muscle involuntarily contracting during bladder filling.
Most common among geriatric population.
Urge urinary incontinence is aka
and is associated with what conditions?
overactive bladder
MS, SCI, CVA, parksinsons
Daily fluid intake should be ___ mL or ___cups.
Reduce bladder irritants:
Schedule voiding for every ___-___ hours.
2500 or 10 cups
carbonation, caffeine, alcohol, spicy foods, citrus, artificial sweeteners.
3-4
Average person voids ___-___times in 24 hour period.
6-8
Avoid fluid intake ___-____ hours prior to bedtime.
____ programs
2-3
smoking cessation and weight loss
Urge urinary incontinence is triggered by certain events due to a conditioned reflex:
“key-in-the-lock”
running water
Functional urinary incontinence
loss of urine due to inability or unwillingness to use bathroom prior to involuntary release
Main cause of FUI?
decreased mental awareness
decrease in mobility
rarely seen without another bladder or neurological issue
Coccydynia
after childbirth joint between coccyx and sacrum is hypermobile
have difficulty sitting on hard surfaces, pain can refer to LB, SIJ, hip, butt, groin or rectum areas, pain with bowel movements
It is diastasis recti, if there is a separation width of more than ___fingers when lifting head and shoulders off plinth.
2
A ___ can also have diastasis secondary to incomplete development but it usually resovles.
newborn
Weight gain in pregnancy?
25-35 lbs
Uterus does what in pregnancy?
ascends into abdominal cavity and becomes an abdominal organ
What expands during pregnancy? What happens to respiratory diaphragm during pregnancy?
ribs
elevates 4 cm
What happens to respiration, TV, MMV during pregnancy?
increases
What happens to oxygen consumption, blood volume and cardiac output during pregnancy?
increases
What too look for in supine position in pregnancy?
hypotension
Exercise at what percent of HRmax in pregnancy and for how long?
50-60%
30 min
What type of exercises are preferred in pregnancy?
NWB
Do not exercise in what position during first trimester?
supine
Absolute contraindications to exercise in pregnancy?
multiple gestation at risk for premature labor
placenta previa after 26 weeks of gestation
preeclampsia
among others
Relative contraindications to exercise in pregnancy?
severe anemia
cardiac dysrhythmia
chronic bronchitis
poorly controlled T1DM
morbid obesity
extremely underweight
sedentary extremely
HTN poorly controlled
seziure
hyperthyroidism
What type of exercise is preferred during pregnancy over intermittent activity?
regular exercise
at least 3x per week
Prolonged periods of … should be avoided.
motionless standing
Decreased ___ available for aerobic exercise during pregnancy. WB exercises may be continued. NWB will..
oxygen
minimize risk of injury
Morphologic changes in pregnancy can serve as a
relative contraindication
Any exercise that involved mild abdominal trauma should be ___ during pregnancy.
avoided
Pregnancy requires how many more calories per day?
300
What to be aware of during exercise of first trimester?
heat dissipation
dehydration
Many of physiological and morphological changes of pregnancy persist how many weeks after pregnancy?
4-6 weeks
Physical therapy can enhance
well-being and QOL of pregnant woman with high-risk pregnancy
___s/l is position of choice for pregnancy as it reduces pressure on inferior vena cava, maximizes cardiac output, enhances maternal and fetal circulation, and reduces risk of incompetent cervix.
left
___ exercises may stimulate uterine contractions.
abdominal
Hormone replacement therapy with estrogen and progestin can treat
menopause and osteoporosis
Anuria
peeing less than 100 mL in 24 hours
Cystocele
bulging of bladder into vagina
hematuria
blood in urine
radical mastectomy
entire breast, pectoral, axillary lymph nodes and some skin taken
