GU

Question 1

UTI more common in men or women?

Answer 1

women

Question 2

UTI usually caused by?

Answer 2

e.coli

Question 3

cm of upper tract UTI

Answer 3

fever, abdominal and flank pain
chills
confusion

Question 4

lower tract UTI cm

Answer 4

dysuria (discomfort while urinating)
polyuria
urgency
hematuria 
burning on urination
foul smelling urine
confusion

Question 5

diagnostics of UTI

Answer 5

urinalysis

Question 6

whats a urine culture done for (C&S)

Answer 6

done to identify causative organisms

Question 7

whats acute pyelonephritis

Answer 7

inflammation of the renal collection system and the renal parenchyma

Question 8

what is pyelonephritis caused by

Answer 8

bacteria

Question 9

where does pyelonephritis usually begin and spread from?

Answer 9

lower urinary system and renal medulla

Question 10

diagnostics of pyelonephritis

Answer 10

CBC
ultrasound
urinalysis 
urince C&S
blood culture

Question 11

cm of acute pyelonephritis

Answer 11

costovertebral angle tenderness
chills 
fever
flank pain
malaise 
hematuria
bacteriuria
urosepsis

Question 12

cm of chronic pyelonephritis

Answer 12

shrunken kidney
lost kidney function due to fibrosis
often diagnosed with end stage renal disease

Question 13

treatment for cute and chronic pyelonephritis

Answer 13

treat dehydration

meds: antiobiotics for 14-21 days, pain meds

Question 14

subjective data to collect in those with UTI?

Answer 14

previous uti
health hx
urinary symtpoms 
meds
sexual activity 
sx

Question 15

objective data to collect in those with UTI?

Answer 15

• Assess for signs and symptoms of lower and upper tract UTIs
• assess perineum
  vs
  assess blood work for signs of infections
  assess cognitive function in elderly
  costovertebral tenderness

Question 16

urinary retention causes

Answer 16

bladder outlet obstruction, deficient detruser contraction

Question 17

diagnostics of urinary retention

Answer 17

• hx
• urinary patterns
• urinary log
• residuals
• bladder scanner

Question 18

treatment of urinary incontinence

Answer 18

• pelvic muscle training
• bladder training
• electrical stimulation
• meds

Question 19

surgical therapy of urinary incontinence

Answer 19

bladder suspension, sling insertion, taping

Question 20

tx for urinary retention

Answer 20

scheduled toileting, catheterization, meds, sx

Question 21

teaching for urinary retention

Answer 21

drinking coffee/tea, self catheterization, double urination, drinking smaller amounts of fluids at regular intervals

Question 22

whats urinary tract calculi known as

Answer 22

kidney stones

Question 23

kidney stones more common in men or women

Answer 23

men

Question 24

what season are kidney stones more common in

Answer 24

summer

Question 25

types of kidney stones

Answer 25

- calcium phosphate - calcium oxalate - uric acid - cystine - struvite

Question 26

stones great than __ mm will likely not pass thru ureters

Answer 26

4

Question 27

possible causes of kidney stones

Answer 27

concentrated urine urinary stasis urinary infection

Question 28

cm of kidney stones

Answer 28

- obstructed urine flow - hematuria - N&V - UTI - fever, chills - cool, moist skin - renal colic - severe abdominal and back pain

Question 29

diagnostics for kidney stones

Answer 29

- urinalysis - urine for C&S - IVP - Ultrasound - cystoscopy - blood work - urine ph

Question 30

what do you treat first in those with kidney stones

Answer 30

- treat symptoms of acute attack (pain, infection, and obstruction) - if less than 4mm will usually pass spontaneously

Question 31

what do you treat second in those with kidney stones

Answer 31

- evaluate causes and prevent further development (fam hx, geographic residence, nutritional assessment, activity level, health hx, dehydration)

Question 32

treatments for kidney stones

Answer 32

- fluids - treat infections - lithotripsy - nephrolithotomy - nutritional therapy - cystoscopy uteroscope

Question 33

benign prostate hyperplasia

Answer 33

- enlarged prostate | - compressed urethra

Question 34

cause of BPH

Answer 34

unknown

Question 35

signs of BPH

Answer 35

positive fam hx diet ge obesity

Question 36

meds for bph

Answer 36

reductase inhibitors adrenergic receptor blockers herbals

Question 37

invasive procedure of bph

Answer 37

TURP | transurethal resection of the prostate

Question 38

minimally invasive procedures for bph

Answer 38

- transurethral microwave thermotherapy - transurethral needle ablation - laser prostatectomy - stenting