Renal Disorders 1 Flashcards
Kidneys help control balance of these major functions:
- pH
- electrolyte
- BP
- RBC formation
- Vit D activation
- Ca2+ balance
Upper urinary tract
- kidneys
- ureters
Lower urinary tract
- bladder
- urethra
This ranks 2nd in incidence of bacterial infections
UI
UI increases risk of
- Infection elsewhere
- think s/p CVA, ortho injury, etc.
How do therapists play a role in renal disorders?
- urinary incontinence
- renal dialysis
- renal transplants
Will see these dx’s as comorbidities in the clinic
Aging: changes in blood flow/nephrons
Decreased blood flow and number of nephrons
Aging: waste removal
- less efficient
- increased volume of urine
With aging, get an increased risk for hyponatremia, which affects
Muscular efficiency and strength
Aging: urine production
- shifts to night over age 60
- vs. daytime production in younger peeps
Aging: neuro, meds, and continence
- neuro issues will affect continence
- multiple meds will affect kidney function
General s/s of genitourinary dz:
Constitutional sx
- fever
- chills
- fatigue
- malaise
- anorexia
- WL
General s/s of genitourinary dz:
MSK
- unilateral costovertebral tenderness
- low back, flank, inner thigh, or leg pain
- ipsilateral shoulder pain
- ipsilateral side flank/back pain
Dysuria =
Pain and burning during urination
General s/s of genitourinary disease
- dysuria
- nocturia
- feeling of bladder not emptying, or straining to start stream
- hematuria
- dribbling at end of urination
- increased freq (more than every 2 hours)
- hesitancy in starting stream, or interruptions
- proteinuria
- skin hypersensitivity
- infertility
Genitourinary s/s in women
- abn vaginal bleeding
- dysmenorrhea
- changes in menstrual pattern
- pelvic masses or lesions
- vaginal itching or discharge
- dyspareunia
Dysmenorrhea =
Painful menstruation
Genitourinary s/s in men
- difficulty starting or continuing stream
- penile discharge
- testicular or penile pain
- scrotal enlargement
- swelling or mass in groin
- sexual dysfunction
Risk factors for genitourinary shit
- age over 60
- personal or family hx of DM or HTN
- personal or family hx of kidney dz, MI, CVA
- African, Hispanic, Pacific Island or Native American descent
- exposure to chemicals, drugs, environmental conditions
- low birth weight
Why is DM a risk factor for genitourinary dz?
Kidneys have to work harder to filter glucose
