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Differential > Urogenital > Flashcards

Urogenital Flashcards

1
Q

What does the upper urinary tract consist of? Lower urinary tract?

A

Upper - kidneys and ureters

Lower - bladder and urethra

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2
Q

Where will MSK pain be if there is a urogenital issue?

A
  • unilateral costovertebral tenderness
  • low back, flank, pelvic, inner thigh, or leg pain
  • ipsilateral shoulder pain
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3
Q

constitutional S&S of genitourinary disease

A
  • fever, chill
  • fatigue, malaise
  • anorexia, weight loss
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4
Q

What are some other S&S of genitourinary disease?

A
  • skin hypersensitivity (T10-T11)
  • infertility
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5
Q

risk factors for genitourinary disease

A
  • age > 60
  • Hx diabetes/HTN or cardiac disease/stroke
  • Hx of kidney disease - stones, UTI, obstruction
  • Hx of autoimmunie
  • AA, hispanic, pacific island, native american (not white)
  • exposure to chemicals or drugs
  • low birth weight
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6
Q

Where is the urogenital issue if the site of pain corresponds with dermatomes?

A

upper urinary tract - typically T10/T11 dermatome

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7
Q

What type of pain is described with upper urinary tract?

A
  • dull/aching
  • boring

may result in abdominal muscle spasm with rebound tenderness on same side

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8
Q

Pseudorenal pain characteristics

A
  • acute onset associated with trauma
  • affected by body position
    (true renal pain is not affected by body position) - lying on side and prolonged sitting increase pain
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9
Q

S&S of pseudorenal pain

A
  • bowel and bladder changes are unlikely
  • negative kidney percussion test
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10
Q

What type of pain is described with lower urinary tract?

A

sharp pain felt above pubis or in lower abdomen
- pain/sensitive with going to bathroom

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11
Q

risk factors for lower UTI

A
  • DM
  • gout
  • HTN
  • obstructive urinary problems
  • medical procedures requiring urinary catheterization
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12
Q

non-specific symtpoms of UTI

A
  • altered mental status
  • loss of appetite
  • N/V/abdominal pain
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13
Q

cystitis vs interstitial cystitis

A

cystitis - inflammation + bladder infection

interstitial cystitis - inflammation only

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14
Q

urethritis

A

inflammation + urethral infection

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15
Q

symtpoms of interstitial cystitis

A
  • recurring pelvic pain
  • severe bladder pain/pressure
  • urinary frequency
  • urinary urgency
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16
Q

What are strictures?

A

urinary tracts form different folds that can cause obstructions

example of primary urinary tract obstruction

17
Q

Primary vs secondary urinary tract obstruction

A

primary - occurs within the urinary tract

secondary - results from disease process outside of urinary tract

18
Q

characteristic symptom of kidney stones

A
  • sudden, sharp, severe pain in lumbar region and radiates around the side and into genitals
19
Q

What symptom always requires an MD referral?

A

blood in urine

20
Q

signs of renal tumor

A
  • flank mass
  • unexplained weight loss
  • fever
  • hematuria
21
Q

risk factors of renal cancer

A
  • smoking
  • obesity
  • HTN
  • long-term dialysis
  • more common in males
22
Q

signs of prostatits

A
  • chronic pain and discomfort
  • difficulty stopping/starting urine
  • painful ejaculation
23
Q

clinical S&S of prostatits

A
  • sudden moderate high fever
  • chills
  • low back, inner thigh, and perineal pain
  • nocturia
  • dysuria
24
Q

What can occur with benign prostatic hyperplasia?

A

chronic constipation

25
Q

What is a major risk factor for testicular cancer?

A

cryptorchidism - boys born with undescended testicles

26
Q

endometriosis is ________

A

cyclic

27
Q

clinical S&S of endometriosis

A
  • intermittent, cyclical or constant pelvic and/or back pain
  • pain during or after intercourse
  • painful bowel movements/urination during period
  • spotting between periods
  • heavy/irregular menstrual bleeding
  • fatigue
  • GI problems
28
Q

clinical S&S of ovarian cysts

A
  • abdominal pressure, pain or bloating
  • dull aching low back, butt, or groin pain
  • sudden, sharp pain with rupture or hemorrhage
29
Q

S&S of ectopic pregnancy

A
  • ipsilateral shoulder pain
  • pelvic/abdominal pain
  • sudden, sharp or constant ONE-SIDED pain in lower abdomin/pelvis

requires immediate medical referral

30
Q

What symptoms require immediate medical attention?

A
  • cervical pain at same time that urinary incontinence develops
  • bowel/bladder incontinence
  • saddle anesthesia secondary t cauda equine lesion

Differential (5 decks)

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