Renal/Bladder 1 Quiz #5 Flashcards
Optimal daily urine output
about 2500 ml
requires 250 ml water intake every hour
which diseases have secondary effects on kidneys?
DM
Lupus
HTN
associated sx of renal disease (ROS)
- general
- CV
- GI
- LUTS
- muskulo
- skin
general: fever, weight loss, fatigue CV: dyspnea, chest pain, edema GI: anorexia, N/V, cramp-like abd pain LUTS: polyuria, dysuria, hematuria muskuloskeletal: joint pain and swelling Skin: rash, pruritis
what is the common triad of renal sx?
polyuria, dysuria, hematuria
where would pain be located for ureters, bladder, and urethral?
- ureter: R or L spasms (stone) can radiate to thigh or genitalia
- bladder: suprapubic. from retention, inflame, irritation
- urethral: pain on urination from inflammation, irritation, foreign body
which conditions have CVA tenderness?
pyelonephritis
calculi
UTI
what questions would you ask pt about GU sx?
fluid consumption
flow sx
fever, hematuria, sexual activity
missed menses, breast swelling, morning sickness (pregnancy)
red flags for GU sx?
fever flank pain recent instrumentation immunocomp recurrence
3 types of urinary incontinence
1) overflow: distended bladder
2) stress: sudden increase in intra abdominal pressure
3) urge: frequent, sudden, urge without control
red flags of polyuria
abrupt onset night sweats cough weight loss psychiatric
etiology of polyuria
inappropriate response to disease state (diabetes insipid us, compulsive drinking excess water, osmolar load)
what do you call decreased urine output
oliguria
red flags of hematuria
gross hematuria
persistent
HTN
edema
inflammatory causes of hematuria
UTI
STI
neoplasm causes of hematuria
malignancy of prostate, urethra, bladder, ureter, kidney
