Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Renal > Symptoms of bladder obstruction > Flashcards

Symptoms of bladder obstruction Flashcards

1
Q

What pathology in the bladder neck can cause bladder outlet obstruction?

A

Stenosis
Stone at bladder neck
Bladder tumour at bladder neck

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What pathology in the posterior urethra can cause bladder outlet obstruction in

A 
BPH 
Posterior urethral stricture
Stone
Tumour
Prostate cancer
Detrussor sphincter dysfunction
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What pathology in the anterior urethra can cause bladder outlet obstruction?

A

Urethral stricture
Obstructing stone
Urethra cancer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What pathology in the gland penis can cause bladder outlet obstruction?

A

Urethral meatus stenosis

Penile cancer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What pathology in the fore skin can cause bladder outlet obstruction?

A

Phimosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What pathology at the urethral meatus in women can cause bladder outlet obstruction?

A

Stenosis

Polyp/ tumour

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What pathology at the vagina can cause bladder outlet obstruction?

A

Vaginal atrophy
Vaginal prolapse
Vaginal cysts (extrinsic compression)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are voiding symptoms (blockage)?

A 
Poor flow
Intermittent stream
Spraying of stream 
Hesitancy 
Post micturition dribbling
Straining
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are storage symptoms (due to secondary effects of blockage)?

A 
Frequency of urination 
Urgency
Urgency incontinence
Nocturia
Sense of incomplete emptying
Pain with bladder filling
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What should be assessed in gross haematuria?

A 
Clots 
Mild, moderate or severe
Shape of clots
Painful or painless
Timing (initial, terminal or throughout) 
Check coags
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What should be assessed in microscopic haematuria?

A

Dipstick 3-5 RBCs per HPF
Symptomatic or asymptomatic
Check BP and proteinuria
Exclude UTI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What should be examined in a male with bladder outlet obstruction?

A

Circumcision
Urethral meatus (hypospadias or stenosis)
Glans penis
Penile exam (tumour, structure, stone)
Abdo (bladder, scars)
PR (anal tone, prostate, blood, tumour)
Neuro (sensation in lower limbs, peri anal sensation, exam of back for meningo-myelocele)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What should be examined in a female with bladder outlet obstruction?

A 
Urethral meatus (stenosis) 
Vaginal examination (prolapse, cysts, tumours, atrophic and scarring) 
Abdo (palpable bladder, scars) 
PR (anal tone, rectal tumour, blood) 
Neurological exam (lower limb sensation, peri anal, exam of back)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What lab investigations should be sent for bladder outlet obstruction?

A

CBC
RFTs: urea, creatinine, electrolytes
Urine dipstick
PSA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What radiological investigations should be sent for bladder outlet obstruction?

A 
X-ray KUB
USS KUB
TRUS prostate
CT KUB
CTU
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the causes of a recurrent UTI?

A

Cystitis
Prostatitis
Epididymo-orchitis

17
Q

What are the complications of bladder outlet obstruction?

A 
Retention or urine
Bladder effect
Renal failure
Recurrent UTI
Bladder stones
Haematuria
Incontinence
18
Q

How does bladder outlet obstruction lead to renal failure?

A

High pressure in bladder causes back pressure effect on kidneys - hydronephrosis +/- abnormal renal function

19
Q

What effects does bladder outlet obstruction have on the bladder?

A

Diverticulum/ saccules
Trabeculation (low compliance/ high pressure in bladder)
Atonic bladder - detrusor hypofunction

20
Q

What is the treatment for BPH?

A

Alpha blockers
Finasteride
TURP/ lalser

21
Q

What is the treatment for bladder outlet obstruction stricture?

A

Optical urethrotomy

Anastomotic urethroplasty

22
Q

What is the treatment for phimosis?

A

Circumcision

23
Q

What is the treatment for bladder stones?

A

Cystolitholaplexy

24
Q

What is the treatment for bladder tumours?

A

Transurethral resection of bladder lesion

Renal (22 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions