Basic Urology

More documents

Recommendations

Info

Atallah A. Shaaban 39 Basic Urology: History Taking Chronic Retention of Urine Causes: Long standing incomplete obstruction A) Mechanical : BPH, prostate cancer B) Functional: Neuropathic flaccid bladder. - Large amounts of residual urine exist. - When the vesical pressure exceeds the urethral resistance, the patient can pass some urine or dribble continuously. This is called false or overflow incontinence. - The Differentiation between acute and chronic urine retention is shown in table 5. Complications: Bilateral hydroureteronephrosis & uremia. Treatment: - Urethral catheterization is done if upper urinary tract deterioration exists. - Investigation for the cause. - Treat the cause. Table 5: Differentiation between acute and chronic urine retention. Acute retention Chronic retention Urination No urine Overflow incontinence Pain Severe, suprapubic, bursting Painless Obstruction Complete Partial Suprapubic + -- tenderness Renal failure -- May be present
Atallah A. Shaaban 41 Hematuria Basic Urology: History Taking Definition: Blood in urine. Hematuria can be classified in different ways: A) Intensity: 1- Microscopic: The presence of >5 RBCs / hpf. 2- Macroscopic or Gross: Urine is red. This is a "red sign" for the patient to ask for medical advice. B) Origin: 1- Systemic disease. 2- Urinary tract pathology. C) Relation to micturition: 1- Total hematuria is present all over the voided urine. Underlying pathology may be in kidney, ureter, bladder or prostate or systemic. Bleeding from kidney is associated with cylindrical worm-like clots. Hematuria from bladder and prostate is associated with big irregular or discoid clots. 2- Terminal hematuria at the end of micturition is of vesical origin e.g. active bilharzial cystitis. It is usually due to bladder neck or prostatic inflammation. 3- Initial hematuria at the beginning of micturition indicates urethral pathology. D) Associated symptoms: Painless hematuria: No other urinary symptoms: All cases should be investigated for urologic malignancy. Bladder cancer is the most common and should be excluded. Hematuria associated with other symptoms: Simple cystitis: frequency, burning, urgency and terminal hematuria. Malignant cystitis: severe frequency, pain, urge incontinence, total hematuria with clots or necroturia.
Page 2 and 3: Basic Urology History Taking and Ph
Page 4 and 5: List of Contents History taking Per
Page 6 and 7: List of tables Table (1) Table (2)
Page 8 and 9: Atallah A. Shaaban 1 History Taking
Page 10 and 11: Atallah A. Shaaban Bilharziasis 3 B
Page 12 and 13: Atallah A. Shaaban 5 Basic Urology
Page 16 and 17: Atallah A. Shaaban 9 Urologic Sympt
Page 44 and 45: Atallah A. Shaaban 3- Neurogenic:
Page 82 and 83: Atallah A. Shaaban 75 A- Anatomy Ba
Page 86 and 87: Atallah A. Shaaban 79 - Swelling. -
Page 94 and 95: Atallah A. Shaaban 87 Atrophy of t
Page 96 and 97:
Atallah A. Shaaban 89 - Local Stagi
Page 98 and 99:
Atallah A. Shaaban 91 Basic Urology
Page 100 and 101:
Page 102 and 103:
Page 104 and 105:
Page 106 and 107:
Page 108 and 109:
Atallah A. Shaaban 111 Basic Urolog
Page 110 and 111:
Page 112 and 113:
Page 114 and 115:
Page 116 and 117:
Page 118 and 119:
Page 120 and 121:
Page 122 and 123:
Page 124 and 125:
Page 126 and 127:
Page 128:
show all

Basic Urology

Create successful ePaper yourself

Delete template?

Save as template?