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BIO 324 Urinary
urinary system
Question | Answer |
---|---|
What is urolitiasis? | kidney stones |
What are risk factors for urolithiasis? | white race, male, family hisotry, foods, diet |
What are the type of urolithiasis stones? | calcium oxalate, uric acid, struvite, and cystine |
The most common type of urolithiasis is... | calcium oxalate |
What is the clinical presentation of urolithiasis? | pain in the flank area that radiates to groin, hematuria, fever (rare), n+v |
What studies can diagnose urolithiasis? | urinalysis, CBC, spiral CT scan, KUB x-ray |
What are types of treatment for urolithiasis? | pass on own, analgesics for pain, hydration, antibiotics, surgery |
How can kidney stones be prevented? | drink more water, less iced tea/chocolate/nuts/coffee, increase citrus intake |
What are risk factors for UTIs? | females, immunosuppressed, indwelling catheters, HAI |
What is the most common route for a UTI? | ascending route |
What is the most common pathogen of community acquired UTI? | E. coli |
What are UTI symptoms? | suprapubic tenderness, CVA tenderness, fever, hematuria, flank pain, frequent/urgent peeing |
What is benign prostatic hyperplasia related to? | age |
What are symptoms of BPH? | frequent urge to urinate, increased peeing at night, weak urine stream, dribbling at end of urinating |
What are diagnostic tests for BPH? | urinalysis + urine culture, BUN + creatinine, prostate specific antigen, digital rectal exam, transrectal ultrasound, cystocopy |
How is BPH treated? | medications to shrink prostate, TURP (transurethral resection of prostate) |
What are s+s of polycystic kidney disease? | history of UTIs and stones, family history, palpable kidneys, hematuria |
What will a urinalysis show if a patient has PKD? | hematuria and proteinuria |
How is PKD managed? | low protein diet, continuous surveillance, kidney transplant if needed |
What is the pathogen that causes acute glomerularnephritis? | streptococcus |
What are s+s of glomerularnephritis? | sudden hematuria, oliguria (scant urine), acute renal failure |
How is GN managed? | treatment of symptoms, fluid overload, and HTN |
What is urge incontinence? | caused by rise in detrusor pressure that's associated with a strong urge to void |
What are causes of urge incontinence? | overactive bladder, UTI, bladder calculus |
What is stress incontinence? | sudden rise in intra-abdominal pressure overcomes urethral closure pressure |
What causes stress incontinence? | sneezing, coughing |
What is overflow incontinence? | continued filling of bladder causing intravesicle pressure to overcome urethral resistance |
What causes overflow incontinence? | retention |
What is acute renal failure? | sudden and usually reversible decline in GFR (increased BUN + creatinine; decreased urine output) |
What are the top two causes of ARF? | pre-renal disease, acute tubular necrosis |
What is prerenal disease in terms of ARF? | decrease in blood volume r/t blood loss, hemorrhage, or fluid loss |
What are s+s of ARF? | hypovolemia (hypotension, tachycardia, thirst, dry mucus membrnes/skin) and overload (edema) |
What are common lab findings in ARF? | BUN and creatinine elevated, urine is highly concentrated |
How is ARF treated? | fluids (IV NSS), intake + output, VS, treat the cause |
What is chronic renal failure? | decreased kidney function for more than 3 months |
What are risks for CRF? | diabetes, HTN, glomerulonephritis |
What are s+s of CRF? | metallic taste, fatigue, n+v, irritability |
How is CRF managed? | protein restriction, control diabetes or HTN, no NSAIDs, stop smoking |
What are s+s of renal cell cancer? | hematuria, abdominal mass/flank mass, scrotal varices, anemia, hypercalcemia |
How is renal cancer treated? | radical nephrectomy |
Bladder cancer is the *blank* most common cancer in men. | 4th |
What is the most common test completed to diagnose bladder cancer? | cystoscopy |
What is the gold standard for prostate cancer diagnosis? | biopsy |