Week 6.2 Screening for GU and Reproductive Flashcards
what are signs associated with male reproductive system issues
urethral discharge, sexual dysfunction, and pain with intercourse and ejaculation
what are signs associated with female reproductive system issues
vaginal discharge, pain with sex, menstruation (frequency, length, dysmenorrhea, blood flow), number of pregnancies and deliveries, and menopause, and perimenaupcusal
what things do we need to look for with the urinary system
color,
flow, (frequency, urgency, output, retention and dysuria)
reduced caliber or force of the stream
incontinence
dark urine could indicate
hepatic or biliary disease
rhabdo
what is hematuria
red urine,
what can hematuria be caused by
eating foods like beets, medications like pyridium
questions to ask around hematuria
how long red?
history of bleeding problems?
medications?
upper respiratory infection or sore throat?
red urine due to respiratory tract infection could be caused by
acute glomerulonephritis
what questions do you ask with red urine and upper respiratory infection
does the urine start red then clears, clear then red, red throughout?
associated symptoms like fever, weight loss, fatigue, or flank/abdominal pain
questions about urinary flow
quick changes?
drinking more?
medications?
urge? frequency? can you start urination?
sensation of urination after you have finished?
associated symptoms, visual, general health
nocturia ___ with age
increase
what is dysuria
pain with urination
what is the most frequently reported symptoms
frequency
increased need to urinate could mean
infection or irritation
dysuria could mean
infection, inflammation, obstruction
obstructive disorders can have S+S like
reduced force of flow
reduced caliber of flow
difficulty starting stream
we must ask about incontinence, like
circumstances, causes, timing, frequency, volume of urine lost
questions for reproductive function
frequency, continuous, spotting, episodes, color and discharge, associated symptoms (pruritus-itching)
what is dyspareunia
mechanical low back pain,SIJ, or hip pain during or after intercourse
what is ED
SCI, herniated disc, post surgical compilation (prostate, bladder, colon procedures) DM, medications and psychogenic
common manifestations in early pregnancy
increased urine Flow breast tender fatigue weight loss (N+V) heartburn constipation leukorrhea (white or yellow vaginal discharge)
