8 - Gynae - Disorders of the Urinary Tract - Ix of UT Flashcards Preview

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Flashcards in 8 - Gynae - Disorders of the Urinary Tract - Ix of UT Deck (7):
1

Urine dipstick - tests for 5 things in urine? essential when pt presents w ? Sx
- what = infection - if +ve what is sent for?
-What = DM?
-what gives haematuria?

glucose, blood, nitrites, leucocytes, protein
urinary
nitrites - M+C+S
glycosuria
bladder Ca or calculi

2

Urinary diary - what does pt record? for how long? what info do you get from it?

How to exclude chronic retention?

a week
time and vol of fluid intake and micturition

info about drinking habits, freq and bladder capacity

post micturition USS or catheterisation

3

USS - excludes ? bladder emptying, checks for ? ?, calculi, ? and ? ? of kidneys

incomplete
congen abnormalities
tumours
cortical scarring of kidneys

4

AXR - diagnose ? ? and ?

CT Urogram - with what? what is examined?

foreign bodies and calculi

contrast
integrity and route of ureters

5

Methylene dye test - ? dye installed to ?, looking for ?-urethral ? eg ? seen

Cystoscopy - inspection of bladder cavity to exclude ?, ?, ?, ?, ?? - but little indication of bladder performance.

blue
bladder
non-urethral leakage
fistulae

tumours, cystitis, stones, fistulae, surgical mistakes

6

Urodynamic studies - what is specific test called?
-done ? to surgery for ? incontinence or for women whose ? is refractory.
-done w/ or w/o ? ?
-what does this test directly measure? how?

cystometry
prior, stress, OAB,
video imaging
bladder pressure as its filled and provoked by coughing (via catheter) , intra abdo pressure too (transducer in rectum/vagina)

7

Urodynamic studies - true ? pressure calculated by ? pressure MINUS ? pressure
-detrusor shouldnt alter with ? or ??
-what shows urodynamic stress incontinence?
-what shows detrusor overactivity?
- how does detrusor overactivity present?

detrusor
vesical - abdo
filling/incr IAP
USI = leaking with coughing and w/o detrusor contraction
DO = invol detrusor contraction (anytime or after cough)
- initial urgency - then incontinence if bladder press > urethra

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