Urinary Flashcards
define UREA
major waste from protein metabolism
define CREATININE
waste from muscle metabolism
define RETROPERITONEAL
behind peritoneum
define RENAL CORTEX
outer region of kidney
define MEDULLA
inner region of kidney w/tubules that collect urine
define NEPHRONS
microscopic functional units of each kidney where urine is made via filtration, reabsorption, & secretion
define GLOMERULUS
cluster of capillaries surrounded by Bowman’s capsule & renal tubule
define BOWMAN’S CAPSULE
cup shaped membrane
define RENAL ARTERY
place blood enters kidney into nephrons
define RENAL VEIN
place where filtered blood leaves after glomerulus
define RENAL PELVIS
funnel shaped area inside kidney surrounded by renal cortex & medulla where pee collects thru ureters
define URETERS
tubes take pee from kidney to bladder using peristalsis that drain pee from bladder via ureteral orifices
define URINARY BLADDER
oval, hollow, & muscular organ that can hold ~ 1 pint lined w/rugae
urethra
tube from bladder to outside w/urinary sphincter @ either end; shorter in women than men
define URETHRAL MEATUS
external opening of urethra
aka: urethral meatus
urinary meatus
define PROSTATE GLAND
male reproductive organ that surrounds urethra & can affect urination
aka: urination
voiding or micturition
define NEPHROPATHY
any kidney disease that is degenerative & inflammatory
define RENAL FAILURE
damaged nephrons irreplaceable leads to failure & impressed filtration
aka: renal failure
kidney failure
describe AZOTEMIA
high blood urea nitrogen (BUN) bc lack of blood flow to kidney
describe UREMIA
toxic condition that can stem from azotemia from renal failure leading to waste being retained in the blood
aka: uremia
uremic poisoning
describe ACUTE RENAL FAILURE (ARF)
sudden onset associated w/uremia bc of not enough blood to kidney
cause: acute renal failure
dehydration, sudden drop in blood volume or BP, injury, burns, severe infection
describe CHRONIC KIDNEY DISEASE (CKD)
progressive loss of renal function leading to buildup of waste causing heart attacks & strokes
define END STAGE RENAL DISEASE (ESRD)
final stage of CKD that is fatal unless transplant or dialysis
aka: end stage renal disease
kidney failure
describe NEPHROTIC SYNDROME
group of s/s in disorders causing glomerulonephritis bc of excessive amnt of protein lost thru urine leading to low protein in blood
aka: nephrotic syndrome
nephrosis
define MINIMAL CHANGE DISEASE
nephrons look normal under microscope
describe EDEMA
excessive fluid accumulation & swelling in tissue; symptom of nephrotic syndrome, kidney disease, & other
define HYPERPROTEINURIA
abnormally high concentration of protein in urine
define HYPOPROTEINEMIA
abnormally low concentration of protein in blood & associate w/hyperproteinuria
describe ECTOPIC KIDNEY
congenital; 1 kidney in weird position/fused with other kidney & increase risk of UTI & nephroliths
describe HYDRONEPHROSIS
dilation of 1 or both kidneys bc of backing up of urine from spacings, stricture, or obstruction
describe NEPHRITIS
inflammation of kidney or kidneys bc of toxins, infection, autoimmune
describe GLOMERULONEPHRITIS
nephritis caused by inflammation of glomeruli; RBCs & proteins leak into urine
define PYONEPHROSIS
suppuration of kidney associated w/hydronephrosis
aka: pyonephrosis
nephropyosis
describe POLYCYSTIC KIDNEY DISEASE (PKD)
genetic condition where fluid-filled cysts in kidneys replace kidney mass & reduce function leading to kidney failure & enlargement
describe RENAL COLIC
acute pain in kidney from blockage bc of nephrolith that comes in waves
describe RENAL CELL CARCINOMA
most common kidney cancer asymptomatic until tumor impairs function & can lead to flank pain & blood in urine
aka: renal cell carcinoma
hypernephroma
define WILMS TUMOR
rare malignant kidney tumor in kids w/high cure rate
aka: Wilms tumor
nephroblastoma
define STONE
abnormal mineral deposit
aka: stone
calculus or calculi
define NEPHROLITHIASIS
presence of stones in kidney
aka: nephrolith
kidney stone or renal calculus
describe URINARY TRACT OBSTRUCTION
blockage preventing flow of urine bc of stones, congenital abnormalities, or enlarged prostate
define URETEROLITH
stone anywhere along ureter
define CYSTOLITH
stone in bladder
define CYSTOLITHIASIS
bladder in stones
describe HYDROURETER
distention of ureter w/blocked urine bc blockage & always accompanies hydronephrosis
describe URETERAL OBSTRUCTION
blockage of 1 or both ureters bc of congenital, ureterolith, or other disorders
define URETERORRHAGIA
discharge of blood from ureter
define CYSTOCELE
hernia of bladder thru vaginal wall
aka: cystocele
prolapsed bladder
describe INTERSTITIAL CYSTITIS
chronic inflammation of walls of bladder w/symptoms similar to cystitis but doesn’t respond to traditional treatment
define VESICOURETERAL REFLUX (VUR)
retrograde flow of urine into ureters from bladder common in infants & kids
describe VESICOVAGINAL FISTULA
fistula between bladder & vagina leading to involuntary flow bc of tissue damage or surgery; s/s: fecal or urinary incontinence
describe NEUROGENIC BLADDER
interference w/nerve pathways associate w/peeing leads to urinary retention & incontinence
cause: neurogenic bladder
nervous system tumor, trauma, neuropathy, inflammatory condition (MS)
describe BENIGN PROSTATIC HYPERPLASIA (BPH)
in men +50 yrs abnormal enlargement of prostate not caused by cancer or infection; s/s: difficult/frequent nutrition
aka: benign prostatic hyperplasia
benign prostatic hypertrophy or enlarged prostate or prostatomegaly
describe PROSTATISM
compression or obstruction of urethra bc of benign prostatic hyperplasia leads to difficulty in urination
describe PROSTATE CANCER
one of most common in men +50 yrs & can grow slowly & asymptomatic or opposite
define PROSTATITIS
group of disorders w/inflammation of prostate
define URETHRORRHAGIA
bleeding from urethra
define URETHORRHEA
abnormal discharge from urethra associated w/STDs
describe URETHROSTENOSIS
narrowing of urethra almost exclusive in men from scarring from infection/injury
aka: urethrostenosis
urethral stricture
define EPISPADIAS
congenital abnormality of urethral opening
define HYPOSPADIAS
congenital abnormality of urethral opening
describe URINARY TRACT INFECTION
bacterial infection generally beginning in bladder; can lead to weakness, infection, & urosepsis in elderly
s/s: urinary tract infection
pain, burning when peeing, fever, fatigue, urinary urgency, pain in low back
describe UROSEPSIS
life threatening systemic bacterial infection bc UTI spreads to kidneys
define RECURRENT UTI
cystitis at least 2 times in 6 months or more than 3 times in 1 year
define CYSTITIS
inflammation of bladder
describe PYELONEPHRITIS
inflammation of both renal pelvis lining & kidney from bacterial infection spreading up from bladder
define URETHRITIS
inflammation of urethra
define ANURIA
absence of urine forming in kidney
define DIURESIS
high output of urine
define DYSURIA
difficult or painful urination & associated w/UTIs
define ENURESIS
involuntary discharge of urine
define NOCTURNAL ENURESIS
urine incontinence during sleep
aka: nocturnal enuresis
bed wetting
define NOCTURIA
frequent & excessive urination during night
define OLIGURIA
scanty urination from dehydration, renal, failure, urinary tract obstruction
describe POLYURIA
excessive urination; symptom of diabetes
describe URINARY HESITANCY
difficulty starting urine stream; common in old men w/enlarged prostate
define BASHFUL BLADDER SYNDROME
inability to pee in presence of others in young ppl
describe URINARY RETENTION
inability to completely empty bladder more common in men & associated w/enlarged prostate
define INCONTINENCE
inability to control excretion of urine, feces, or both
describe OVERFLOW INCONTINENCE
continuous leaking bc bladder doesn’t empty completely or is full
define STRESS INCONTINENCE
can’t control voiding under physical stress
describe OVERACTIVE BLADDER (OAB)
bladder muscles involuntary contract when bladder not full enough to pee causing sphincters to relax & increase incontinence/frequency
aka: overactive bladder
urge incontinence
define GLYCOSURIA
carbs/sugars in urine
define HEMATURIA
blood/blood cells in urine
describe URINARY URGENCY
sudden, compelling urge to pee associated w/many disorders & increase w/age
define RENAL HYPERTENSION
hypertension from kidney disease
describe RENAL ISCHEMIA
blood flow to glomerulus severely decreased leading to atrophy & scarring of kidneys; gen from nephrosclerosis
describe NEPHROSCLEROSIS
arteriole walls in kidneys narrow & thick from essential hypertension
describe URINALYSIS
examine urine for abnormal elements diagnose disease, kidney damage, pregnancy, & presence of drugs; analyzes color, pH, glucose, protein, ketones, occuli hematuria, leukocytes, nitrites, bilirubin, specific gravity, & microscopic
define DIPSTICK URINALYSIS
urinalysis screen for chemical changes in pee
define MANUAL/MICROSCOPIC URINALYSIS
test urine sediment w/centrifuge
define GLOMERULAR FILTRATION RATE (GFR)
blood test to check kidney function filtering to diagnose CKD & kidney failure
define BLOOD UREA NITROGEN (BUN) TEST
to indicate kidney function to measure urea & creatinine in blood
describe BLADDER ULTRASOUND
look for stones, elevation of bladder bc big prostate, & check residual urine after peeing
define DISTENTION
more than 300-400 mL of urine after peeing
describe CYSTOSCOPY
visual exam bladder w/cytoscope thru urethra to examine, treat, & remove tumors, calculi, & inflamed tissues
define COMPUTED TOMOGRAPHY c
rapidly performed shows additional radiographic imaging of abdomen
aka: computed tomography
CT scan
define CYSTOGRAPHY
x ray/fluoroscopy of bladder w/contrast
describe INTRAVENOUS PYELOGRAM (IVP)
xray images of kidneys, ureters, & bladder w/ contrast to diagnose changes in urinary tract from nephroliths, infections, enlarged prostate, tumors, internal injuries, cysts
describe KUB XRAY
xray w/o contrast of kidneys, ureters, bladder to detect bowel obstructions & nephroliths
aka: KUB xray
flat-plate of abdomen or kidneys, ureters, bladder xray
describe RETROGRADE PYELOGRAM
xray of renal pelvis, ureters, & bladder w/contrast in 1 or both ureters & is generally part of cystoscopy; contrast flows upwards
describe VOIDING CYSTOURETHROGRAPHY
fluoroscopy examine flow of urine from bladder thru urethra w/contrast performed after cystography & xrays taken while peeing
describe DIGITAL RECTAL EXAMINATION (DRE)
palpate prostate to detect enlargement, prostate cancer, or rectal tumors
describe PROSTATE-SPECIFRIC ANTIGEN (PSA)
screen for prostate cancer by measuring amnt of prostate-specific antigen (higher more likely cancer present)
define CREATININE CLEARANCE
urine test estimate glomerular filtration rate to measure glomeruli function
define TOXICOLOGY
blood/urine test to check for toxins or poisons
define PHENYLKETONURIA TEST (PKU test)
check for phenylketonuria in infants
define RENAL ANGIOGRAM
xray & contrast to see flow from vessels to kidneys
define 24 HR URINE COLLECTION
pee collected for 24 hrs w/special cup to check kidney function
describe CLEAN CATCH MIDSTREAM URINE COLLECTION
method to collect pee w/contamination from germs of other body parts; clean outside tissue & pee little before collecting sample
define DRUG TESTING URINE COLLECTION
test for drugs/alcohol needing 30-45 mL of pee
define ILE URINE COLLECTION
collected via catheter
define LITHOTOMY
surgical incision to remove stone from kidney, gallbladder, or bladder
define DIURETICS
meds increase urine secretion to get rid of excess water & salt
define ANTISPASMODIC
block signals causing urinary incontinence
describe DIALYSIS HEMODIALYSIS
remove waste from patient’s blood using a machine & is most common; use shunt in artery to filter w/dialysate & return blood via vein about 4 hrs & repeat about 3 times/week
describe PERITONEAL DIALYSIS
lining of peritoneal cavity acts as filter & dialysate flows into peritoneal cavity around intestine thru catheter in abdominal wall to be repeated several times a day & less effective than hemodialysis
define NEPHROLYSIS
surgical freeing of kidney from adhesions
describe NEPHROSTOMY
catheter to maintain opening from pelvis of 1/both kidneys to exterior to drain kidneys & access kidneys for diagnostics
define PYELOTOMY
surgical incision into renal pelvis to remove obstructions
define RENAL TRANSPLANTATION
doesn’t need to be genetically related and high tissue match success
aka: renal transplantation
kidney transplant
describe EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY (ESWL)
most common kidney stone treatment where high energy ultrasonic waves thru H2O or gel break stone in ureter, bladder, or urethra to be peed out
describe PERCUTANEOUS NEPHROLITHOTOMY
surgical removal of nephrolith via small back incision where tube inserted in kidney to remove pee, crush stone, & remove pieces; done if ESWL not successful, infection, or large stone
define URETERECTOMY
surgical removal of ureter
define URETEROSCOPY
treatment for nephrolith in ureter where ureteroscope insert thru urethra & bladder into ureter
define CYSTECTOMY
surgical removal of all/part bladder to treat cancer
define ILEAL CONDUIT
small piece of intestine carry urine to ureters & stoma
aka: ileal conduit
urinary ileostomy
define CYSTORRHAPHY
surgical suturing of wound/defect in bladder
define LITHOTOMY
uncommon surgical incision to remove nephrolith from bladder
define URINARY CATHETERIZATION
withdraw urine for diagnostics, draining, or place fluid
aka: urinary catheterization
cathing
define STRAIGHT CATHETER
single use
describe INDWELLING CATHETER
in body for prolonged period; either urethral or suprapubic
define URETHRA CATHETERIZATION
thru urethra into bladder
define SUPRAPUBIC CATHETERIZATION
into bladder via small incision above pubic bone
describe FOLEY CATHETER
most common indwelling flexible tube w/balloon filled w/sterile water @ end to hold in place; common post-surgery
define INTERMITTENT CATHETER
inserted as need several times/day
aka: intermittent catheter
short-term catheter
define MEATOTOMY
surgical incision in urethra meatus to enlarge opening
define URETHROPLASTY
surgical repair of damage/defect in urethra walls
define URETHROTOMY
surgical incision into urethra to relieve stricture
define ABLATION (in relation to the urinary system)
describe some treatments for prostate cancer by removing body part or destroy function
describe PROSTATECTOMY
surgical removal of part/all prostate to treat prostate cancer or reduce enlarged prostate & can lead to erectile difficulties
describe TRANSURETHRAL PROSTATECTOMY (TURP)
removal of excess tissue from prostate w/retroscope thru urethra to treat BPH & conditions causing enlarged prostate
aka: transurethral prostatectomy
transurethral resection of prostate
describe KEGEL EXERCISES
pelvic muscle exercise strengthen pelvic floor to control urinary stress incontinence, treat prostate pain & swelling, recover from birth
describe BLADDER RETRAINING
behavioral therapy to urinate on schedule w/increasing intervals & reestablish control & break cycle of frequency & urgency
describe RENAL ANGIOPLASTY
dilation/repair of 1/more major blood vessels in kidney w/stent