GU System Flashcards
whether secondary to trauma or insidious onset
pt w/ c/o flank pain, LBP or pelvic pain may be renal or urologic in nature
role of kidneys
excretion
acid base balance
electrolyte balance
BP modulation
formation of RBC
activation of vitamin D and Ca+ balance
location of kidneys
T11-L3
signs and sxs of GU dz
constitutional
MSK
urinary
other
females
males
constitutional
fever and chills
fatigue and malaise
anorexia and weight loss
MSK
unilateral costovertebral tenderness
LBP, flank, inner thigh or leg pain
ipsilateral shoulder pain
urinary
dysuria
nocturia
along w/ no known cause of LBP
along w/ no known cause of LBP –> urinary
feeling that bladder has no emptied but unable to urinate more, straining to start
hematuria
dribbling @ end of urination
frequency
frequency –> urinary
more than every 2 hours
other sxs
skin hypersensitivity (T10-L1)
infertility
females
abnormal vaginal bleeding
dysmenorrhea
changes in menstrural pattern
pelvic mass/lesion
vaginal itching or discharge
pain during intercourse
males
difficulty starting or maintaining stream
discharge from penis
penile lesions
testicular or penile pain
scrotal enlargement
swleling or mass in groin
sexual dysfxn
what make is difficult to identify true problem
proximity of kidneys, ureters, bladder, urethra to the ribs, vertebrae, diaphragm and accompanying muscles/tendinous insertions
urinary tract pain is often similar to
pain felt from injury to back, flank, abdomen or upper thigh
what questions should we ask
that will illicit mixed signals
