CMN 577 Unit 1 Mens Health
When would you refer hematuria? in the absence of infection
(1)
(1) afebrile, (2) dysuria, and the (3) urinalysis is positive for pyuria,
What are the s/s of acute cystitis?
bacteria, and possible hematuria. (4)Nitrates may be positive as
(4)
well.
Which organism is responsible for E. Coli
acute cystitis usually?
What is the teaching associated (1) post sex voiding (in women), (2) hygiene, (3) voiding often, (4)
with acute cystitis to prevent and showers over tub baths, (5) avoiding scented soaps, etc., and
manage the symptoms? (6) (6)drinking plenty of fluids.
Cystitis in men is rare, therefore BPH, prostatitis, stones
you work up the patient for other CAT scan will eval for stones, masses and enlarged prostate
conditions, what are they (3) ,
and what tests would you order (1).
Refer for further evaluation if symptoms do not clear after
When do you refer for acute treatment with appropriate (culture based) antibiotics or if there
cystitis? (2) is concern for cancer, stones, or other abnormalities.
What are the most common E Coli, Proteus, Klebsiella, Enterobactor, and Pseudomonas
organisms to cause acute
pyleonephritis? (5)
(1) Fever, (2) flank pain, (3) chills, and (4) voiding symptoms (pain,
What are the s/s of acute
burning, urgency, hesitancy) (5) along with possible nausea,
pyleonephritis? (6)
vomiting, and diarrhea. (6) Costovertebral angle tenderness is
typically more obvious in this patient scenario.
Urine cultures are positive for the offending organism but blood
What are the labs needed for
cultures should be evaluated as well.
acute pyleonephritis? (3) What will
CBC will demonstrate leukocytosis with a left shift.
they show?
KU
What imaging will show stones? (2)
B
CA
T
What are the differentials specific to epididymitis, acute prostatitis, and acute cystitis.
male patients in acute
pyleonephritis? (3)
, When would you refer an acute Refer for presence of kidney stones, obstruction, or other
pyleonephritis? (3) complicating factors including lack of improvement at 48 hours.
(1)severe infections, (2) signs of sepsis, (3) parenteral antibiotics, or
When would you admit the patient (4) complicating factors. Depending upon the patient's health, you
with acute pyleonephritis? (5) may wish to admit for treatment if there are stones or other
concerns for the patient's health and (5) compliance with
treatment.
Kidney stones effect more T
men than women T/F
What is the most common age 30-50
range of kidney stone
presentation?
1. calcium oxalate
2. calcium phosphate
What are the most common types of
3. struvite (magnesium ammonium phosphate)
kidney stones? (5)
4. uric acid
5. cystine
What percentage of stones are 85%
visible on plain films?
Which types of stones appear Calcium based stones (including those that are uric acid plus calcium oxalate
opaque on plain films? (1) mixed)
Which stones are radiolucent Pure uric acid
(transparent) on plain films? (1)
Which stones are translucent(semi Cystine
transparent) on plain films? (1)
1. Geography,
2. sedentary lifestyle,
3. diet, and
4. genetics.
5. Areas of high humidity,
What are the risk factors for
developing kidney stones? (10) 6. elevated temperatures,
7. lack of exercise,
8. high protein,
9. high salt diets, plus a
10. family history of kidney stones
Which season are kidney stones for summer, because of high protein diet, high salt diet and low hydration
When would you refer hematuria? in the absence of infection
(1)
(1) afebrile, (2) dysuria, and the (3) urinalysis is positive for pyuria,
What are the s/s of acute cystitis?
bacteria, and possible hematuria. (4)Nitrates may be positive as
(4)
well.
Which organism is responsible for E. Coli
acute cystitis usually?
What is the teaching associated (1) post sex voiding (in women), (2) hygiene, (3) voiding often, (4)
with acute cystitis to prevent and showers over tub baths, (5) avoiding scented soaps, etc., and
manage the symptoms? (6) (6)drinking plenty of fluids.
Cystitis in men is rare, therefore BPH, prostatitis, stones
you work up the patient for other CAT scan will eval for stones, masses and enlarged prostate
conditions, what are they (3) ,
and what tests would you order (1).
Refer for further evaluation if symptoms do not clear after
When do you refer for acute treatment with appropriate (culture based) antibiotics or if there
cystitis? (2) is concern for cancer, stones, or other abnormalities.
What are the most common E Coli, Proteus, Klebsiella, Enterobactor, and Pseudomonas
organisms to cause acute
pyleonephritis? (5)
(1) Fever, (2) flank pain, (3) chills, and (4) voiding symptoms (pain,
What are the s/s of acute
burning, urgency, hesitancy) (5) along with possible nausea,
pyleonephritis? (6)
vomiting, and diarrhea. (6) Costovertebral angle tenderness is
typically more obvious in this patient scenario.
Urine cultures are positive for the offending organism but blood
What are the labs needed for
cultures should be evaluated as well.
acute pyleonephritis? (3) What will
CBC will demonstrate leukocytosis with a left shift.
they show?
KU
What imaging will show stones? (2)
B
CA
T
What are the differentials specific to epididymitis, acute prostatitis, and acute cystitis.
male patients in acute
pyleonephritis? (3)
, When would you refer an acute Refer for presence of kidney stones, obstruction, or other
pyleonephritis? (3) complicating factors including lack of improvement at 48 hours.
(1)severe infections, (2) signs of sepsis, (3) parenteral antibiotics, or
When would you admit the patient (4) complicating factors. Depending upon the patient's health, you
with acute pyleonephritis? (5) may wish to admit for treatment if there are stones or other
concerns for the patient's health and (5) compliance with
treatment.
Kidney stones effect more T
men than women T/F
What is the most common age 30-50
range of kidney stone
presentation?
1. calcium oxalate
2. calcium phosphate
What are the most common types of
3. struvite (magnesium ammonium phosphate)
kidney stones? (5)
4. uric acid
5. cystine
What percentage of stones are 85%
visible on plain films?
Which types of stones appear Calcium based stones (including those that are uric acid plus calcium oxalate
opaque on plain films? (1) mixed)
Which stones are radiolucent Pure uric acid
(transparent) on plain films? (1)
Which stones are translucent(semi Cystine
transparent) on plain films? (1)
1. Geography,
2. sedentary lifestyle,
3. diet, and
4. genetics.
5. Areas of high humidity,
What are the risk factors for
developing kidney stones? (10) 6. elevated temperatures,
7. lack of exercise,
8. high protein,
9. high salt diets, plus a
10. family history of kidney stones
Which season are kidney stones for summer, because of high protein diet, high salt diet and low hydration
