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10 Cards in this Set

  • Front
  • Back
Key History -
Duration

obstructive Sxs -
hesitancy
diminished stream
sense of incomplete
bladder emptying
straining
postvoid dribbling

irritative Sxs -
urgency
frequency
nocturia

constitutional Sxs
bone pain
meds
history of UTIs
urethral stricture
urinary tract instrumentation
stones
diabetes
alcoholism
Key PE -
VS
abdom exam -
include suprapubic percussion
genital exam
rectal exam
focused neuro exam
60 y/o M
nocturia, urgency, weak stream
and terminal dribbling.
Denies weight loss, fatigue
or bone pain.
He has had 2 episodes of
urinary retention that
required catheterization.

What is Differential?
BPH
prostate cancer
UTI
bladder stones
60 y/o M
nocturia, urgency, weak stream
and terminal dribbling.
Denies weight loss, fatigue
or bone pain.
He has had 2 episodes of
urinary retention that
required catheterization.

What is Workup?
Rectal exam
UA
CBC, BUN/Cr, PSA
US - prostate (transrectal)
71 y/o M
presents with nocturia, urgency, weak stream, terminal dribbling, hematuria and lower back pain over the past 4 months.
He has also experienced weight loss and fatigue.

What is Differential?
Prostate cancer
BPH
renal cell carcinoma
UTI
bladder stones
71 y/o M
presents with nocturia, urgency, weak stream, terminal dribbling, hematuria and lower back pain over the past 4 months.
He has also experienced weight loss and fatigue.

What is Workup?
Rectal exam
UA
CBC, BUN/Cr, PSA
US - prostate (transrectal)
CT - pelvis
IVP
18 y/o M
has burning sensation during urination and urethral discharge.
He recently had unprotected sex with a new partner.

What is Differential?
Urethritis
cystitis
prostatitis
18 y/o M
has burning sensation during urination and urethral discharge.
He recently had unprotected sex with a new partner.

What is Workup?
Genital +/- rectal exam
UA
UC
gram stain & Cx of urethral discharge
chlamydia & gonorrhea PCR
41 y/o F
presents with dysuria, urinary frequency, fever, chills and nausea over the past 3 days.
Left CVA tenderness on exam.

What is Differential?
Acute pyelonephritis
nephrolithiasis
renal cell carcinoma
lower UTI -
(cystitis, urethritis)
41 y/o F
presents with dysuria, urinary frequency, fever, chills and nausea over the past 3 days.
Left CVA tenderness on exam.

What is Workup?
UA
UC and sensitivity
CBC, BUN/Cr
US - renal
CT - abdo