Medical Issues Genitourinary and Gynecological Pathology Flashcards
S/S with renal/reproductive pathology
hematuria changes in urinary habits nipple discharge hypertension anemia sexual dysfunction menstrual irregularities pain
heamturia
blood in the urine
pseudohematuria
-change in urine color as a result of something you ingest
exertional hematuria
-increase in RBCs that show up in the urine after heavy exertion
-ex. marathon, swimmers
if it occurs after trauma it’s a medical emergency
changes in urinary habits
dysuria nocturia unusual urgency ncontinence oliguria anuria
nipple discharge
serous
sanguineous
serosanguineous
can indicate breast cancer or benign breast conditions (gland infection or hormonal imbalances)
kidneys and BP
dual control of BP
resistance exercise vs. endurance exercise
-resistance
–increase in both systolic and diastolic
-endurance
–slight increase in systolic
anemia
kidney pathology may affect the production of erythropoietin (hormone that regulates RBC production)
decrease in erythropoietin leads to decrease in
sexual dysfunction
impotence
painful intercouse
hemospermia
bleeding during intercourse or loss of libido
menstrual irregularities
amenorrhea
-primary: don’t begin menstruating (16 y/o)
-secondary: stops menstruating (3 or less times a year or 3 consecutive months
oligomenorrhea
-3-6 cycles per year
dysmenorrhea
-disabling pain with menstruation
pain referral patterns
kidney -lower back or abdomen -typically due to infection or trauma bladder -over bladder -refer to lower back or thighs possibly ureter -groin
male-specific pain referral patterns
prostate gland -refers to lower back, scrotum, or perineum -diffuse but centralized area testicular disease -focal -testicles or lower abdomen
female-specific pain referral patterns
uterus -lower back ovaries and fallopian tubes -lower abdomen and sacrum breast -chest and ipsilateral shoulder
medical history and physical examination
family and personal history inspection - edema in extremities (advanced kidney pathology) palpation other things to consider -age of first period -cycle length -sexually active
urinalysis
purpose
- general evaluation of health
- metabolic disorders or systemic disease
- endocrine disorders
- diabetes
- pregnancy
- drug screening
- specific gravity
- pH
- protein
- ketones
- nitrates
- trauma to kidneys
urinalysis methods
best method -clean catch mid stream urine -needs to be tested within the hour -catheter can be used - comes with risks testing -dipstick method -microscopic
urinalysis abnormal results
cloudy
foul smelling
fruity - diabetes, starvation, and dehydration