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32 Cards in this Set

  • Front
  • Back
Things that could cause a primary urinary tract obstruction?
1) Neoplasms
2) Congenital malformations
3) Renal or Ureteral calculi
4) Strictures
Causes of a secondary urinary tract obstruction?
1) Prostate enlargement
2) Abdominal neoplasms
3) Pregnancy
4) PID
5) Abdominal aortic aneurysm
6) Endometriosis
End results of the obstruction of urinary tract?
Urine builds up -> dilation or stretching of urinary tract structures
Describe the pain of an acute onset obstruction?
Excruciating, spasmodic and radiating
Describe the pain of a chronic UT obstruction?
Mild to non-existent.
Nephrolithiasis?
Formation of calculi (kidney stones)
Danger of untreated kidney stones?
Accumulation of urine -> swelling -> hydronephrosis -> Kidney failure
Characteristic symptoms of renal or ureteral stones?
Sudden, sharp, severe pain
Four types of prostatitis?
I) Acute Bacterial Prostatitis
II) Chronic Bacterial Prostatitis
III) Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS)
IV) Asymptomatic Inflammatory Prostatitis
Predominant symptom for both chronic prostatitis and BPH?
Voiding complaints
Type of voiding complaints for Chronic Prostatitis?
1) Urgency
2) Frequency
3) Nocturia
How do the symptoms of Prostatitis differ from BPH?
The voiding complaints are usually accompanied by pain before, during or after
Manifestations of Prostatitis?
1) Fever and Chills (from bacterial)
2) Low-back, inner thigh, perineal, testicular and penis pain
3) Malaise, arthralgias and myalgias
Demographic for BPH?
Men over 50
Incidence rates of BPH?
1) Affects 1/2 of all men between 60 and 65yo
2) 80% between 70 and 90
3) Only half will develop symptoms
Frequency of prostate cancer?
50-75% of men by the age of 75. SCARY shit.
Clinical sign of prostate cancer?
Increased PSA (prostate specific antigen); indicative of enlarge prostate and maybe increased incidence of carcinoma
Four stages of prostate cancer?
1) Non palpable
2) Palpable but, localized to prostate
3) No longer localized to prostate
4) Spread to lymph nodes and/or other parts
Four primary types of incontinence?
1) Stress
2) Urge
3) Mixed
4) Overflow
Stress incontinence
Support for the bladder or urethra is either weak or damaged
Urge incontinence
An over reactive bladder - involuntary contraction of detrusor muscle OR involuntary sphincter relaxation
Overflow incontinence
Over distention of bladder -> bladder can't completely empty
Ways a PT can treat incontinence?
1) Remove bladder irritants or diuretics
2) Train pt to "go" on a schedule
Risk factors for incontinence?
Aging, overweight, history of UTIs, DM, chronic cough, chronic constipation, neurological disorders, previous bladder or pelvic surgery, pelvic trauma or radiation, bladder and/or bowel prolapse
Chemicals that may promote incontinence?
Irritants, diuretics, caffeine and ETOH, tobacco use.
Risk factors of incontinence specific to women?
Pregnancy, birth, menopause
Risk factors of incontinence specific to men?
Enlarged prostate, prostate surgery, prostate radiation
Acute renal failure
Abrupt stop of kidney activities occurring over a few hours to days
Chronic Renal Failure
ESRD - permanent loss of kidney function
Primary cause of ESRD?
Diabetic nephropathy
Risk factors for ESRD?
Age, DM, HTN, chronic UT obstruction and infection, kidney transplantation
Systemic manifestations of Renal Failure?
1. Fatigue, malaise
2. Skin & nails: pallor, echymosis, dry skin, thick brittle nails
3. Skeletal system: osteomalacia, osteoporosis, bone pain, myopathies, tendon rupture
4. Neuro: memory loss, decreased alertness, irritability, difficulty with concentration, lethargy, sleep disturbances
5. PNS: Muscle weakness, tremor, cramping and things like carpal tunnel syndrome