GU eval

Question 1

Vital Signs for GU

Answer 1

HR, RR, BP, Temp., O2 sat., preg. test, Urinalysis

Question 2

kidney stones

Answer 2

S/S: abdominal pain in upper quadrants, dehydration, associated UTI, inability to pass stone, back pain

Tx: if pain in bearable, hydrate + pain relievers and monitor
if pain in unbearable, refer to ER

Question 3

sports hematuria

Answer 3

S/S: blood in urine, associated with exercise or activity, asymptomatic

Tx: advise athlete to stay hydrated and report if pain increases and/ or symptoms dont reside

Question 4

UTI

Answer 4

S/S: burn or pain with urination, polyuria, unable to fully empty bladder, pain in lower quadrants, blood in urine, cloudy urine, sexually active individual

Tx: refer to PCP for antibiotics

Question 5

Urethritis and Cystitis

Answer 5

S/S: inflammation of urethra (uretherisitis) or bladder and ureters (cystitis)

Tx: refer to PCP for antibiotics

Question 6

testicular torsion

Answer 6

S/S: most common in males 12-18, severe pain in scrotum, swelling of scrotum, abdominal pain, nausea, vomiting, fever

Tx: refer to ER immediately

Question 7

hydrocele

Answer 7

S/S: asymptomatic, fluid build up in scrotum, scrotal ache/ swelling

Tx: refer to PCP if problematic

Question 8

variocele

Answer 8

S/S: general asymptomatic, aching pain or heavy scotum, “bag of worms”

Tx: refer if problematic

Question 9

testicular cancer

Answer 9

S/S: abnormal growth of testicles (typically only 1), discomfort

Tx: refer to PCP for in-depth eval., screening

Question 10

prostate cancer

Answer 10

S/S: burn with urination, weak urine flow, polyuria, blood in urine, difficulty with erection

Tx: refer to PCP for further eval., screening

Question 11

Vaginitis

Answer 11

S/S: inflammation from infection, sexually active, pain

Tx: refer to PCP for further eval- gynecologist

Question 12

Pelvic inflammatory disease

Answer 12

S/S: pain/ tenderness in lower quadrants, pain with sex, pain with urination, fever, chills, vaginal discharge, irregular bleeding

Tx: refer immediately to PCP

Question 13

Dysmenorrhea

Answer 13

S/S: severe cramps with period

Tx: OTC pain relief, heat pad, refer to PCP if unbearable

Question 14

amenorrhea

Answer 14

S/S: absence or period by 16 or sudden stop of period

Tx: refer to PCP

Question 15

ovarian and cervical cancer

Answer 15

S/S: growth on ovary (ovarian), growth on cervix (cervical)

Tx: refer for diagnosis and screening

Question 16

breast cancer

Answer 16

S/S: lumps in breasts

Tx: refer to PCP for diagnosis., and screening

Question 17

STI

Answer 17

S/S: dysuria, urge to pee, inability to empty bladder, discharge, itching, burning

Tx: refer to PCP for screening, blood test and urinalysis