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