Other Systems_Genitourinary

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  1. Urethral pain - felt where?
    Groin & genital area
  2. Renal & urethral pain - 4
    • Felt in T10 & L1 dermatome
    • Aching & dull in nature
    • DOESN’T change w/position
    • (+) Murphy’s percussion test - PHYSICIAN REFERRAL
  3. Test to rule in/out renal involvement - 1
    • Murphy’s percussion test
    • Pt in prone or sitting
    • PT places hand over costovertebral angle of pts back & percusses
    • (+) back pain or tenderness at costovertebral angle
  4. S/S of Renal calculi (kidney stones) - 3
    • Pain
    • Nausea, vomiting
    • Skin cool, clammy
  5. Renal calculi (kidney stones) - pain radiates where? - 3
    • Lower abdominal quadrant
    • Bladder area
    • Perineal area - scrotum & labia
  6. Lower UTI - pain where? - 3
    • Suprapubic
    • Lower abdominal
    • Grow
  7. Upper UTI - pain where? - 2
    • Over kidneys (back pain)
    • Tenderness over costovertebral angle
  8. Acute renal failure (uremia) - S/S (3) + test - 2
    • Anorexia
    • Nausea
    • Mental confusion
    • Test - Elevated serum urea & creatine
  9. Result of long-lasting years of dialysis - 1
    Dialysis dementia
  10. S/S of dialysis dementia - 5
    • Speech difficulties
    • Mental confusion
    • Seizures
    • Myoclonus
    • Death eventually
  11. Result of rapid changes after beginning dialysis
    Dialysis disequilibrium
  12. S/S of Dialysis disequilibrium - 5
    • Nausea
    • Vomiting
    • Drowsiness
    • HA
    • Seizures
  13. Bladder/urethral pain is felt where? - 4
    • Suprapubic region
    • Low back pain
    • Pelvic/abdominal pain
    • Dyspareunia (painful intercourse)
  14. Bladder/urethral pain - characterized as - 3
    • Urinary urgency
    • Sensation to void
    • Dysuria (painful urination)
  15. Stress incontinence is what?
    Loss of urine w/INC abdominal P: coughing, sneezing, and laughing
  16. Stress incontinence - what is weak & what is normal
    • Weak - pelvic floor & urethral sphincter
    • Normal - bladder
  17. Urge incontinence (overactive bladder) is involuntary loss of urine associated w/ what?
    Abrupt/strong desire to void
  18. What is Urge incontinence d/t? - 2
    • Detrusor overactivity 
    • Urethral instability
  19. Detrusor mm - how it presents in urge & overflow incontinence
    • Urge - overactive detrusor mm
    • Overflow - under-active detrusor mm
  20. Overflow incontinence is involuntary loss of urine associated w/what?
    Overdistention of bladder without complete emptying of bladder
  21. What is Overflow incontinence caused by? - 6
    • Underactive or deficient detrusor muscle
    • Diabetic neuropathy
    • Fecal impaction
    • Lower spinal cord injury
    • Detrusor external sphincter dyssynergia (MS)
    • Prostate pathology
  22. Functional incontinence is what?
    Bladder functions normally, however mind-body connection is disrupted
  23. Bladder/bowel incontinence w/saddle anesthesia d/t what?
    Cauda equina lesion
  24. Red flags of incontinence - 5
    • Blood in the urine: refer to MD
    • C-spine pain occurring at same time of urinary incontinence (possible cervical disc protrusion)
    • Bladder/bowel incontinence w/saddle anesthesia d/t cauda equina lesion
    • Back/shoulder pain accompanied w/abnormal urinary constituents (changes in color/odor/flow/amount of urine)
    • (+) Murphy's percussion test
  25. Normal values of urine - pH
    • 4.6-8.0
    • Ave 6 (acid)
  26. Normal values of urine - protein
    0-8
  27. Normal values of urine - specific gravity w/normal fluid intake
    1.010-1.025

Card Set Information

Author:
Tanuisha
ID:
323817
Filename:
Other Systems_Genitourinary
Updated:
2016-09-28 20:41:37
Tags:
Other Systems Genitourinary
Folders:
Other Systems
Description:
Other Systems_Genitourinary
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