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Chapter 8-Urine 2
Chapter 8-Urine 2
18
Medical
Graduate
11/01/2012

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Term
long standing progressive deterioration of renal function.
Definition
chronic kidney disease
Term
symptoms develop slowly and include anorexia, nausea, vomiting, stomatitis, dysgeusia, nocturia, lassitude, fatigue, pruritis, decreased mental activity, muscle twitches and cramps, water retention, undernutrition, GI ulceration, and bleeding peripearl neuropathies, and seizures. 
Definition
chronic kidney disease. 
Term
diagnosis is based on laboratory testing of renal function, sometimes followed by renal biopsy.
Definition
Chronic kidney disease.
Term
structural or functional hindrance of normal urine flow, sometimes leading to renal dysfunction (obstructive nepropathy).
Definition
obstructive uropathy
Term
diagnosis is based on results of bladder catheterization, ultrasonography, CT, cystourethroscopy, cystourethrography, or pyelography, depending on the level of obstruction.
Definition
obstructive uropahty
Term
symptoms, less likely in chronic obstruction, are pain radiating to the T11 -T12 dermatomes; anuria, nocturia, or polyuria. 
Definition
obstructive uropathy
Term
diagnosis is based on history, physical examination, and sometimes renal biopsy.
Definition
Nephritic syndrome
Term
Often 1 or more of the following elements are present: mild to moderate proteinuria, edema, hypertension, elevated serum creatinine and oliguria.
Definition
nephritic syndrome
Term
hematuria and the presence of dysmorphic RBCs and RBC casts (dead parts) on microscopic examination of urinary sediment. 
Definition
Nephritic syndrome
Term
urinary excretion of 3 or more grams of protien a day due to a glomerular disorder. It is more common in childeren and has both primary and secondary causes. 
Definition
Nephrotic syndrome
Term
diagnosis is by determination of urine protein/creatinine ratio in a random urine sample or measurement of urinary protein in a 24-h urine collection; cause is diagnosis based on history, physical examination, serologic testing, and renal biopsy. 
Definition
nephrotic syndrome
Term
these type of cancers account for about 42% in men, and 4% in women.
Definition

GU cancers

 

(bladder, penile, prostate, renal pelvis, testicular, ureteral, and urethral).

Term
diagnosis is clinical, along with microscopic examination and culture of urine samples obtained before and after prostate massage!
Definition
Prostatitis
Term
manifests with a combination of predominantly irritative or obstructive urinay symptoms or perineal pain. 
Definition

prostatitis

 

*some cases result from bacterial infection of the prostate gland and others, which are more common, from a poorly understood combination of non infectious inflammatory factors, spasm of the muscles of the urogenital giaphragm, or both.

Term
a non malignant adenomatous overgrowth of the periurethral prostate gland. 
Definition
bph
Term
symptoms are those of bladder outlet obstruction--weak stream, hesitancy, urinary frequency, urgency, nocturia, incomplete emptying, terminal dribbling, overflow or urge incontinence, and comlete urinary retention. 
Definition
Bph
Term
treatment is alpha adrenergic blocters (terazosin, doxazosin, tamsulosin, or alfuzosin) to relax certain muscles of the prostate and bladder and may improve the flow of urine.
Definition
BPH
Term
diagnosis is based on digital rectal examination and symptoms; cystoscopy, transrectal ultrasonography, urodynamics, or other imaging studies may also be needed. 
Definition
BPH
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