Case Study - Patient with urinary symptoms | GPonline


urinary system case study

Case Study: A Urinary Tract Infection Chief Complaint: "I can't stop peeing. I know where every bathroom is on every highway and street in the entire state. I spent half of my time worrying about having an accident and wetting myself.". Sep 10,  · Test and improve your knowledge of Urinary System with fun multiple choice exams you can take online with Learn max's maximum: a case study on the urinary system with free interactive flashcards. Choose from 58 different sets of max's maximum: a case study on the urinary system flashcards on Quizlet.

Urinary and Digestive System Case Study - Words | Cram

In this case, symptoms continued after a provisional diagnosis of UTI. By Dr Lizzie Croton. A year-old man presented to surgery with new-onset urinary tract symptoms over the preceding week. These consisted of urgency and frequency associated with suprapubic pain. There was no frank haematuria. He had no significant past medical history and no history of STIs. Clinically he was afebrile and his abdomen was soft with no palpable bladder. There were no urinary system case study abnormalities.

A provisional diagnosis of UTI was made and the patient was prescribed a seven-day course of ciprofloxacin mg daily. His symptoms improved over the urinary system case study and the urine microscopy report revealed no growth but large quantities of white and red blood cells. Review The patient was reviewed at 10 days and was asymptomatic.

A repeat urine microscopy was normal. At the review appointment, digital rectal examination revealed a non-tender benign prostatic enlargement. Three weeks later he presented with frank urinary system case study and incontinence with lower abdominal and left-sided loin pain.

He had a palpable bladder and a large stone trapped at the urethral entrance. He was admitted as a surgical emergency and underwent a meatotomy and stone removal under anaesthetic. A cystoscopy was normal and there was no evidence of further calculi in the renal tract, urinary system case study.

The stone was calcium oxalate and thought to have originated from the urinary system case study. Renal calculi The overall prevalence of renal calculi in the UK is 3 per cent, urinary system case study. Males are more affected with peak age incidences in the mid-twenties and mid-fifties.

The majority arise in the upper urinary tract and most are radio opaque. Smaller stones are more likely to migrate causing pain while larger stones may remain within the kidney.

Many calculi form in the absence of obvious precipitating factors but recognised causative factors include:. Clinical features Kidney stones cause flank pain that spreads around the abdomen as the stone migrates. There may be an associated UTI with pyrexia and septicaemia. An acute pyelonephritis associated with urinary obstruction requires emergency urological review. Ureteric stones present with colicky pain radiating from the flank into the scrotum or the labia majora.

There is commonly associated haematuria and symptoms of urinary infection. Abdominal examination may elicit tenderness along the course of the ureter but this is usually milder than the pain reported. Management Around 90 per cent of stones will pass spontaneously. The patient should be kept hydrated and appropriate analgesia given.

If the patient is unwell, febrile or in severe pain, hospital admission is indicated with consideration of IV fluids and antibiotics to treat associated infection. Larger stones may require surgical management. Open surgery has now been largely replaced by endoscopic and percutaneous techniques to remove stones.

Lithotripsy is also readily used. Once the acute phase has passed, the patient should remain under urological follow-up to ensure there are no further residual stones. Sign in. Register Now. Stay signed in. He has been well since. Many calculi form in the absence of obvious precipitating factors but recognised causative factors include: An excess of a normal constituent in blood or urine, for example hypercalcaemia or hyperuricaemia.

Impaired drainage causing chronic urethral obstruction, for example, benign prostatic hypertrophy. The presence of abnormal constituents, for example coexistent urinary infection.

There is often associated microor macroscopic haematuria. In the lower urinary tract stones may cause pain in the lower abdomen or genitalia. This may be worse on standing or at the end of micturition if the stone is lying on the trigone. When the stone is passed, it is important to retain it for further histological examination. Dr Croton is a GP in Birmingham, urinary system case study. Related Drug Categories Urinary tract infections.

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Case Study Sample: A Urinary Tract Infection


urinary system case study


The Urinary System Case Study Fill in the blank with the correct medical term from this chapter. Joyce is a year-old seen by her family practice doctor for a complaint of one day of feeling the frequent urge to urinate and pain on urination. Her history is remarkable only for one previous urinary tract infection four years earlier. Her doctor orders a test on her urine called a Kjeanc Case Study The Digestive and Urinary Systems 1) Marissa, a newborn with a cleft lip and palate, is the third child of Juan and Maria. Both Juan and Maria are “visually alarmed” at Marissa’s appearance; however, Juan is more distant and reserved. Learn max's maximum: a case study on the urinary system with free interactive flashcards. Choose from 58 different sets of max's maximum: a case study on the urinary system flashcards on Quizlet.