DDx exam 3 Questions & answers
signs and symptoms of genitourinary disease - CORRECT
ANSWER-constitutional
- fever, chills
- fatigue, malaise
- anorexia, weight loss
MSK
- unilateral costovertebral tenderness
- LB, flank, inner thigh or leg pain
- ipsilateral shoulder pain
Urinary prob
- dysuria
- nocturia
- feeling bladder has not emptied completely but unable to urinate more
- hematuria
- dribbling at end of urination
- frequency
- hesitancy
- proteinuria
signs and symptoms of GU disease - CORRECT ANSWER-other
- skin hypersensitivity ( T10- L1)
- infertility
signs and symptoms GU disease
women - CORRECT ANSWER-- abnormal vaginal bleeding
- painful menstruation (dysmenorrhea)
- changes in menstrual pattern
- pelvic masses or lesions
- vaginal itching or discharge
- pain during intercourse (dyspareunia)
signs and symptoms GU disease
,men - CORRECT ANSWER-- difficulty starting or continuing a stream of urine
- discharge from penis
- penile lesions
- testicular or penis pain
- enlargement of scrotal contents
- swelling or mass in groin
- sexual dysfunction
assessment for pseudorenal pain - CORRECT ANSWER-hx
- trauma (fall, assault, blow, lifting)
- hx of straining, lifting, accident, or other mechanical injury to thoracic spine
pain pattern
- back and/or flank pain occur at same level at kidney
- affected by change in position
- lying on involved side increases pain
- symptoms are reproduced w movements of spine
- costovertebral angle tenderness present on palpation
associated S & S:
- murphy's percussion (punch) test is negative
- report of bowel and bladder changes unlikely
Extra-Urologic Conditions Causing Urinary Tract Symptoms - CORRECT
ANSWER-
urinary tract infections - CORRECT ANSWER-UUTI
- renal infections such as pyelonephritis (renal parenchyma, ie kidney tissue)
- acure or chronic glomeruloenephritis
(glomeruli)
- renal papillary necrosis
- renal tuberculosis
LUTI
- cystitis (bladder infection)
- urethritis (urethra infection)
Upper urinary tract (kidney or uretheral infection) - CORRECT
ANSWER-unilateral costovertebral tenderness
, flank pain
ipsilateral shoulder pain
fever and chills
skin hypersensitivity (hyperesthesia of dermatomes)
hematuria (blood RBCs in urine)
pyuria (pus or WBC in urine)
bacteriuria (bacteria in urine)
nocturia (unusual or increased nighttime need to urinate)
lower urinary tract (cystitis or urethritis) - CORRECT ANSWER-urinary frequency
urinary urgency
LBP
pelvic/lower abdominal pain
dysuria (discomfort, such as pain or burning during urination)
hematuria
pyuria
bacteriuria
dyspareunia (painful intercourse)
systemic manifestations of chronic kidney disease - CORRECT ANSWER-394
clinical signs and symptoms of obstruction of upper urinary tract - CORRECT
ANSWER-
risk factors for urinary tract problems - CORRECT ANSWER-
clinical signs and symptoms of prostatitis - CORRECT ANSWER-
clinical signs and symptoms of obstruction of the lower urinary tract (benign
prostatic hyperplasia/prostate cancer) - CORRECT ANSWER-lower urinary tract
symptoms of blockage are most commonly related to bladder or urethral
pressure (eg prostate enlargement). pressure results in bladder distention and
subsequent pain. common symptoms of lower urinary tract obstruction include:
- bladder palpable above symphysis pubis
- urinary problems
-- hesitancy: difficulty in initiating urination or an interrupted flow of urine
-- small amounts of urine with voiding (weak urine stream)
signs and symptoms of genitourinary disease - CORRECT
ANSWER-constitutional
- fever, chills
- fatigue, malaise
- anorexia, weight loss
MSK
- unilateral costovertebral tenderness
- LB, flank, inner thigh or leg pain
- ipsilateral shoulder pain
Urinary prob
- dysuria
- nocturia
- feeling bladder has not emptied completely but unable to urinate more
- hematuria
- dribbling at end of urination
- frequency
- hesitancy
- proteinuria
signs and symptoms of GU disease - CORRECT ANSWER-other
- skin hypersensitivity ( T10- L1)
- infertility
signs and symptoms GU disease
women - CORRECT ANSWER-- abnormal vaginal bleeding
- painful menstruation (dysmenorrhea)
- changes in menstrual pattern
- pelvic masses or lesions
- vaginal itching or discharge
- pain during intercourse (dyspareunia)
signs and symptoms GU disease
,men - CORRECT ANSWER-- difficulty starting or continuing a stream of urine
- discharge from penis
- penile lesions
- testicular or penis pain
- enlargement of scrotal contents
- swelling or mass in groin
- sexual dysfunction
assessment for pseudorenal pain - CORRECT ANSWER-hx
- trauma (fall, assault, blow, lifting)
- hx of straining, lifting, accident, or other mechanical injury to thoracic spine
pain pattern
- back and/or flank pain occur at same level at kidney
- affected by change in position
- lying on involved side increases pain
- symptoms are reproduced w movements of spine
- costovertebral angle tenderness present on palpation
associated S & S:
- murphy's percussion (punch) test is negative
- report of bowel and bladder changes unlikely
Extra-Urologic Conditions Causing Urinary Tract Symptoms - CORRECT
ANSWER-
urinary tract infections - CORRECT ANSWER-UUTI
- renal infections such as pyelonephritis (renal parenchyma, ie kidney tissue)
- acure or chronic glomeruloenephritis
(glomeruli)
- renal papillary necrosis
- renal tuberculosis
LUTI
- cystitis (bladder infection)
- urethritis (urethra infection)
Upper urinary tract (kidney or uretheral infection) - CORRECT
ANSWER-unilateral costovertebral tenderness
, flank pain
ipsilateral shoulder pain
fever and chills
skin hypersensitivity (hyperesthesia of dermatomes)
hematuria (blood RBCs in urine)
pyuria (pus or WBC in urine)
bacteriuria (bacteria in urine)
nocturia (unusual or increased nighttime need to urinate)
lower urinary tract (cystitis or urethritis) - CORRECT ANSWER-urinary frequency
urinary urgency
LBP
pelvic/lower abdominal pain
dysuria (discomfort, such as pain or burning during urination)
hematuria
pyuria
bacteriuria
dyspareunia (painful intercourse)
systemic manifestations of chronic kidney disease - CORRECT ANSWER-394
clinical signs and symptoms of obstruction of upper urinary tract - CORRECT
ANSWER-
risk factors for urinary tract problems - CORRECT ANSWER-
clinical signs and symptoms of prostatitis - CORRECT ANSWER-
clinical signs and symptoms of obstruction of the lower urinary tract (benign
prostatic hyperplasia/prostate cancer) - CORRECT ANSWER-lower urinary tract
symptoms of blockage are most commonly related to bladder or urethral
pressure (eg prostate enlargement). pressure results in bladder distention and
subsequent pain. common symptoms of lower urinary tract obstruction include:
- bladder palpable above symphysis pubis
- urinary problems
-- hesitancy: difficulty in initiating urination or an interrupted flow of urine
-- small amounts of urine with voiding (weak urine stream)
