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58 Cards in this Set
- Front
- Back
benign prostatic hyperplasia (BPH
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noncancerous enlargement or hypertrophy of the prostate. BPH is the most common pathologic condition in older men and the second most common cause of surgical intervention in men older than 60 years of age.
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Bowen's disease
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form of squamous cell carcinoma in situ of the penile shaft
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cryosurgery of the prostate
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localized treatment of the prostate by application of freezing temperatures
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penile cancer
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represents about 0.5% of malignancies in men in the United States; can involve the glans, the body of the penis, the urethra, and regional or distant lymph nodes
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prostate cancer
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the most common cancer in men; risk factors include increasing age, African American race, and possibly a high-fat diet; the genetic association of prostate cancer and the increased incidence within certain families are being investigated
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prostate gland
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gland that lies just below the neck of the bladder, surrounds the urethra, and is traversed by the ejaculatory duct, a continuation of the vas deferens; produces a secretion that is chemically and physiologically suitable to the needs of the spermatozoa in their passage from the testes
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prostate-specific antigen (PSA
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substance that is produced by the prostate gland and measured in a blood specimen; PSA levels are increased with prostate cancer; the PSA test is used in combination with digital rectal examination to detect prostate cancer
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prostatism
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obstructive and irritative symptom complex that includes increased frequency and hesitancy in starting urination, a decrease in the volume and force of the urinary stream, acute urinary retention, and recurrent urinary tract infections
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prostatitis
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inflammation of the prostate gland caused by infectious agents (bacteria, fungi, mycoplasma) or various other problems (eg, urethral stricture, prostatic hyperplasia
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testicular cancer
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the most common cancer in men 15 to 35 years of age and the second most common malignancy in those 35 to 39 years of age; its cause is unknown
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transurethral resection of the prostate (TUR or TURP)
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resection of the prostate through endoscopy; the surgical and optical instrument is introduced directly through the urethra to the prostate, and the gland is then removed in small chips with an electrical cutting loop
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aldosterone
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hormone synthesized and released by the adrenal cortex; causes the kidneys to reabsorb sodium
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antidiuretic hormone (ADH)
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hormone secreted by the posterior pituitary gland; causes the kidneys to reabsorb more water; also called vasopressin
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anuria
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total urine output less than 50 mL in 24
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bacteriuria
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bacteria in the urine; bacterial count higher than 100,000 colonies/mL
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creatinine
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endogenous waste product of muscle energy metabolism
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frequency
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voiding more frequently than every 3 h
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glomerulus
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tuft of capillaries forming part of the nephron through which filtration occurs
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glomerular filtration rate (GFR)
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volume of plasma filtered at the glomerulus into the kidney tubules each minute; normal rate is approximately 120 mL/min
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oliguria
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total urine output less than 400 mL in 24 h
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pyuria
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white blood cells in the urine
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renal clearance
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volume of plasma that the kidneys can clear of a specific solute (eg, creatinine); expressed in milliliters per minute
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specific gravity
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reflects the weight of particles dissolved in the urine; expression of the degree of concentration of the urine
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tubular reabsorption
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movement of a substance from the kidney tubule into the blood in the peritubular capillaries or vasa recta
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tubular secretion
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movement of a substance from the blood in the peritubular capillaries or vasa recta into the kidney tubule
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urea nitrogen
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nitrogenous end product of protein metabolism
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cystectomy
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removal of the urinary bladder
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cystitis
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inflammation of the urinary bladder
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functional incontinence
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physical impairments make it difficult or impossible for the patient to reach the toilet in time for voiding
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iatrogenic incontinence
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the involuntary loss of urine due to extrinsic medical factors, predominantly medications
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ileal conduit
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transplantation of the ureters to an isolated section of the terminal ileum, with one end of the ureters brought to the abdominal wall
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interstitial cystitis
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inflammation of the bladder wall that eventually causes disintegration of the lining and loss of bladder elasticity
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neurogenic bladder
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bladder dysfunction that results from a disorder or dysfunction of the nervous system; may result in either urinary retention or bladder overactivity, resulting in urinary urgency and urge incontinence
Spastic is most common (lesion spinal cord) |
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overflow incontinence
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involuntary urine loss associated with overdistention of the bladder due to mechanical or anatomic bladder outlet obstruction
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pyelonephritis
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inflammation of the renal pelvis
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reflex incontinence
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involuntary loss of urine due to hyperreflexia or involuntary urethral relaxation in the absence of normal sensations; usually associated with micturition (voiding)
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stress incontinence
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involuntary loss of urine through an intact urethra as a result of a sudden increase in intra-abdominal pressure
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suprapubic catheter
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a urinary catheter that is inserted through a suprapubic incision into the bladder
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urge incontinence
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involuntary loss of urine associated with urinary urgency due to hypersensory disorders of the bladder, motor instability, or both
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ureterosigmoidostomy
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transplantation of the ureters into the sigmoid colon, allowing urine to flow through the colon and out the rectum
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ureterovesical or vesicoureteral reflux
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backward flow of urine from the bladder into one or both ureters
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urosepsis
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sepsis resulting from infected urine, most often a UTI
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Bladder ca risk factors
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Smoking
Exp to carcinogens Recurrant UTIS Bladder stone High Cholestoral CA from prostate, colon rectum Chromnis urinary retention req cath |
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Baldder cancer
Diagnosis |
Cytoscopy is GOLD standard
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Bladder Cancer
Most Common Type |
Transitional cell then sqamous cell
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Bladder Cancer Stages
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Tis: cancer in situ
Ta: non invasive papillary ca T1: invasion of subepithelial tissue T2: Invasion of Muscle Layer T#: Invasion of perivesical tissue T4: Invasion of nearby tissues |
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Prostate Cancer
Risk Factors |
Age
RAce Fm History Diet(sat fat) |
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Penile Cancer
Staging |
Stage 1: Ca has only effected the glans and or foreskin
Stage 2: Ca has spread o the shaft Stage 3: Ca has affected penis and lymph nodes Stage 4: Ca has moved beyond the groin to other body parts Recurrant: Ca has returned after treatment |
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Bladder Capacity
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300-500 mL
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Kidneys
Function |
Remove liq waste from the blood (urine)
Keep stable balance of salts and other substances in the blood Produce erythropoietin, a hormone that aids the formation of refd blood cells. |
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Most reliable indicator of kidney function
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creatinine levels
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Causes and tx of transient incontinence (DIAPPERS)
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Delirium
Infection of urinary tract Atrophic vaginitis, urethritis Pharmacologic agents (anticholinergics, sedatives, alcohol, analgesics, diuretics, muscle relaxants, adrenergic agents) Psychological factors (depression, regression) Excessive urine production (increased intake, diabetes insipidus, diabetic ketoacidosis) Restricted activity Stool impaction |
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Types of Calculi
Calcium |
increase in ca in diet
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Types of Calculi
Uric Acid |
foods high in purine(shellfish,anchovies, asparagus, mushrooms and organ meats)
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Urnie formation
Steps |
1. Glomular filtration
2. Tubular reabsorption 3. Tubular Secretion |
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Glomular filtration
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Glomeruli filter blood as it follos through the kidneys; creating filtrate
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Tubular reabsorption
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The movement of substances from the filtrate into plasma
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Tubular Secretion
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The movement of substances from plasma into renal tubesules to be excreted
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