Hematuria

Subjective: HPI: 53-year-old African American female who presents to the emergency department with c/o heavy vaginal bleeding for four days. At this time, the patient is soaking about one pad per hour and passing some clots. She is perimenopausal and has been menstruating every 6 months for the last two years, usually lasting 7-8 days with variable flow. When this vaginal bleeding started she thought it was her menses, but flow has steadily increased with palm-sized clots reported…

A 4-year-old developmentally delayed boy is brought to the emergency department by his parents because he has had gross hematuria for 2 days. The patient has a past history of seizures of unknown origin. His family is indigent and they have been unable to get regular care and checkups. Initial examination reveals an uncomfortable, skinny boy. Vital signs are: temperature 37.5ºC (99.5ºF), heart rate 110 beats/min, blood pressure 90/40 mmHg, respiratory rate 20 breaths/min, pulse oximetry 99% on…

Some of the symptoms are; hematuria, frequent urination, dysuria, spasms of the bladder, nocturia, nausea/vomiting, fever, chills, tenderness of the bladder area, flank pain, oliguria, and foul smelling urine. Symptoms for pyelonephritis are similar but are more severe and may cause…

CC (chief compliant): JID is a 27 year-old African American male who presents for a history and physical examination. He presents with complaints of nasal drainage and a nonproductive cough. He states “I have had a runny nose and cough for the last past 2 weeks”. HPI: Onset: Runny nose and non productive cough that began 2 weeks. Location: Nose: nasal drainage chest: nonproductive cough Duration: Nasal drainage continuous throughout the day. Coughing throughout the day and increases…

Healthcare-Associated Infections definition Healthcare-Associated infections are patients’ infections that happen when the patients are receiving treatments in a health care setting for health issues either medical or surgical condition. There are many places where healthcare-associated infections can happen such as hospital’s inpatient care, outpatient clinics, ambulatory surgical centers, nursing homes, end-stage renal disease facilities, and rehabilitation centers (Health.gov, 2016). Types of…

share relates to the patient I was caring for who has a history of actinic keratosis, aortic insufficiency, aortic valve replaced, basal cell carcinoma, clostridium difficile, chronic lymphoid leukemia, erosive esophagitis, GERD, heart failure, hematuria, total hip replacement, hyperlipidemia, hypertension, influenza A, osteoarthritis, iron deficiency, major depressive disorder, MERSA-nares, pressure ulcer of sacral region, squamous cell carcinoma, and stroke. He was being treated for elevated…

waters of canals and in the Nile’s riverbanks, that burrows through the feet of waders, enters their veins, and then swims to the body’s bladder and rectum to deposit eggs. The worms finally migrate to the urinary tract, causing blood in the urine (hematuria), and after the eggs hatch, they cause severe anemia, urinary infection and liver ailments. Ancient Egyptians never suspected a virtually invisible worm caused these problems, because of that all they could do was try to relieve the…

The Prostate Gland: An Overview: Anatomy: The prostate gland is shaped as an inverted cone in which the apex is pointing downward, the base is referring upward, and the midgland is sandwiched in between. In an antro-posterior view, the gland lies with its long axis parallel to the anterior rectal wall. It is bordered superiorly by the bladder (ventrally) and the seminal vesicles (dorsally), and inferiorly by the urogenital diaphragm (Jung and Westphalen, 2012). The prostate is separated from…

Goodpasture syndrome is classified as an autoimmune disease due to B and T-cell mediated responses that result in the patient’s body to development antibodies against its own normal tissue, specifically the basement membranes of the glomerulus (glomerular basement membranes) and of the lungs (alveolar basement membranes) More specifically, the antibodies are developed against the noncollagenous domain 1 of the alpha 3-chain of type IV collagen). The noncollagenous domain 1 alpha 3 chain of type…

missing beats. GI: Denies nausea, vomiting, hematemesis, abdominal pain, change in bowel habits, or heartburn. GU: Denies vaginal pruritis, discharge, or tenderness. Denies dyspareunia or change in libido. Denies history of pregnancy or STD. Denies hematuria, dysuria or change in urinary frequency. See HPI for additional information. Musculoskeletal: Denies muscle pain, arm or leg weakness, joint swelling or arthritis. Neurologic: Denies syncope, seizures, disorientation, anxiety, inability to…