urinary

Pyelonephritis

• chills
• fever
• flank pain
• fatigue
• vomit
• costovertebral tender on affected side

cystitis

• emptying symptoms:
• hesitancy
• intermittency
• postvoid dribble
• retention /incomplete empty
• dysuria
• pain on urination

• storage symptoms
• frequency
• urgency
• incontinence
• nocturia
• nocturnal enuresis

• hematuria (smoky / rusty color)
• urinary excretions of various formed elements(RBC/WBC/protien/casts)
• generalized edema
• hypertension
• oliguria
• protienuria

• rest
• sodium/fluid restrict
• diuretic
• antihypertensive therapy
• adjust dietary protien intake to level of protienuria

• autoimmune
• immune system makes antibodies that attack lung and kidney

• cough blood
• burn sensation at urination
• fatigue
• nausea
• sob
• hematuria
• protienuria

• lung effect not permanent
• damage to kidney long lasting

• inspection:
• skin, mouth, face, extremities, note edema, distention,masses, enlarge kidney, abdomen, wt gain/loss, general state of health
• palpation:
• normal kidney size not palpable ; if palpable not size contour and tenderness
• urinary bladder not palpable unless distended with urine
• percussion:
• tenderness in flank area upon firm blow to area
• normal bladder not percussible till 150 mL urine
• if bladder full, dull shoudn heard above symphysis pubis
• distended bladder can be percussed as high as umbilicus
• Auscultation:
• abdominal aorta and renal arteries ascultated for bruit (hearing abnormal murmur) which indicates impaired blood flow to kidney

chronic painful inflammatory disease of bladder with s/s of urgency, frequency, adn pain in bladder/pelvis

• life threatening genetic disease
• cysts enlarge adn destroy surrounding tissue by compression