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Repro Week 2 > LM 5.6: Clinical Evaluation of Urologic Patients > Flashcards

LM 5.6: Clinical Evaluation of Urologic Patients Flashcards

1
Q

what are the systemic symptoms of urologic problems?

A
  1. fever
  2. weight loss
  3. general malaise
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2
Q

what are the different aspects of a fever you should consider in a urologic patient?

A
  1. high grade?
  2. chills?
  3. think of parenchymatous organs; kidneys and prostate
  4. children with high grade fever, think kidneys and get a urine culture
  5. infection without fever think cystitis (bladder infection) or chronic kidney infection like chronic pyelonephritis
  6. in
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3
Q

when would you see weight loss in urologic patients?

A
  1. advance cases of cancer
  2. chronic infection
  3. renal failure
  4. failure to thrive in children
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4
Q

what could cause general malaise in urologic patients?

A
  1. chronic infections
  2. renal failure
  3. advanced cacner
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5
Q

what is local pain?

A

pain in the site of the organ

aka in the kidneys or testicles when it comes to urologic patients

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6
Q

what is the location, character and associated symptoms of local kidney pain?

A

location: costovertebral angle, towards the umbilicus, ipsilateral lower abdomen

characteristics:
1. acute if sudden obstruction

  1. dull if slow distention
  2. painless if very slow progres
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7
Q

what is the location, character and associated symptoms of local ureter pain?

A

location: costovertebral angle, lower anterior abdomen, referred to ipsilateral groin
character: colicky, sharp

associated symptoms: nausea and vomiting, restlessness

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8
Q

what is the location, character and associated symptoms of local bladder pain?

A

location: suprapubic, usually related to voiding, referred to the tip of the penis

character:
1. acute due to sudden obstruction

  1. dull due to slow distention
  2. painless if very slow progression

associated symptoms: dysuria, hematuria

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9
Q

what is the location, character and associated symptoms of local prostatic pain?

A

location: perineal, rectal, lower abdomen
character: vague, may be sharp when acute

associated symptoms: nausea and vomiting, fever, urinary changes

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10
Q

what is the location, character and associated symptoms of local testicular pain?

A

location: testicular
character: acute, sharp, dull ache, discomfort

associated symptoms: nausea, fever, urinary infection

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11
Q

where could you feel referred pain from a stone in the upper ureter?

A

ipsilateral testicle or labia

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12
Q

where could you feel referred pain from a stone in the lower ureter?

A

bladder

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13
Q

where could you feel referred pain from inflammation of the bladder?

A

tip of the penis or urethra in females

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14
Q

what are some of the associated/non-urologic symptoms of urologic diseases?

A
  1. nausea
  2. vomiting
  3. abdominal pain
  4. tenderness
  5. rebound tenderness
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15
Q

what are the components of the lower urinary tract?

A
  1. urinary bladder
  2. urethra
  3. prostate in men
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16
Q

what are the 2 types of urinary symptoms?

A
  1. storage symptoms

2. voiding symptoms

17
Q

what are storage symptoms?

A

symptoms that occur during the filling phase of the bladder

it is the time that the bladder is being filled with urine

these are based on urodynamics terms

they include:
1. urinary frequency

  1. urinary incontinence
  2. urinary urgency
  3. nocturia
  4. urinary incontinence
18
Q

what is the storage symptom associated with cystitis?

A
  1. increased frequency of voiding
  2. constant desire to void
  3. burning without voiding

cystitis = bladder inflammation

19
Q

what is the storage symptom associated with excessive fluid intake?

A
  1. increased urinary frequency
  2. urgency of voiding
  3. nocturia
20
Q

what is the storage symptom associated with a bladder stone?

A
  1. urinary frequency
  2. urges desire to urinate
  3. dysuria
  4. blood in urine
21
Q

what are voiding symptoms?

A

symptoms occurs at the time of voiding; the patient experiences them during passing urine

an older term is obstructive symptoms because it usually occurs when there is obstruction of the urinary stream

  1. hesitancy
  2. decreased urinary stream force
  3. terminal dribbling
  4. intermittent stream
  5. sense of incomplete emptying of the bladder
  6. urinary retention
  7. straining to void

Repro Week 2 (21 decks)

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