Renal Lecture

Question 1

What is the most common cause of cystitis? What 4 patients are at risk for UTIs?

Answer 1

Bacteria. Infants, pregnant women, elderly, and patients with catheters

Question 2

What is the most common hospital acquired infection?

Answer 2

Catheter associated UTI

Question 3

4 symptoms of UTI?

Answer 3

Dysuria, fever, frequency and lower ab pain

Question 4

What is the pain pattern or a kidney stone?

Answer 4

Flank to the groin

Question 5

What is the most common type of kidney stone?

Answer 5

Calcium oxalate or phosphate

Question 6

3 things to remember about interstitial cystitis?

Answer 6

Pain in the perineum, frequency can be up to 60 times a day, hurts when bladder fills and relieved when bladder is emptied.

Question 7

What is the vertebral span of the kidneys?

Answer 7

T12 to l3

Question 8

What 3 things is sympathetics doing to urinary system?

Answer 8

Vasoconstriction of blood, constriction of ureters and constricting internal urethral sphincter.

Question 9

What 2 things is parasympathetics doing to urinary system?

Answer 9

Peristalsis along ureters and contracts bladder to urinate

Question 10

Where is the urethra Chapman’s reflex?

Answer 10

Inner eye of the pubic ramus near the symphysis

Question 11

Where are the posterior Chapman’s reflex points for adrenals, kidneys, ureters, and bladder/urethra

Answer 11

Adrenals 11 and 12 tp
Kidneys 12 and L1 tp
Ureters L1 and L2 tp
Bladder and urethra superior edge of L2 tp

Question 12

What can be a unique cause of bladder problems?

Answer 12

Constipation

Question 13

Besides the groin, what other area can the pain of a kidney stone radiate to and what nerve does it stimulate?

Answer 13

Anterior thigh, so genitofemoral