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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 |
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Key PE -
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VS
abdom exam - include suprapubic percussion genital exam rectal exam focused neuro exam |
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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 |
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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) |
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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 |
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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 |
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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 |
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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 |
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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) |
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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 |