OAT: Renal Patient

Question 1

Patient presents with severe colicky flank pain with radiation into the groin – most likely diagnosis

Answer 1

Nephrolithiasis

Question 2

S/S of Interstitial Cystitis (painful bladder synd)

Answer 2

• • pain in pelvis btwn vagina and anus (women) or scrotum and anus (men)
• • chronic pelvic pain
• • persistent, urgent need to urinate
• • frequency but small amounts throughout day and night (up to 60 times in a day!!)
• • pain/discomfort while bladder fills and relief after urinating
• • pain during sex
• *more common in women

Question 3

Sympathetic innervation of the kidney

Answer 3

T10 - L1

Question 4

Sympathetic innervation of the ureter upper and lower 1/2

Answer 4

Upper 1/2 T10 - L1

Lower 1/2 L1 - L2

Question 5

Sympathetic innervation of the bladder

Answer 5

T11 - L2

Question 6

Parasympathetic innervation of the kidney

Answer 6

Vagus n

Question 7

Parasympathetic innervation of the ureter upper and lower `1/2

Answer 7

Upper 1/2 = vagus n.

Lower 1/2 = S2 - S4

Question 8

Parasympathetic innervation of the bladder

Answer 8

S2 - S4