Screening for Urogenital Disease

Question 1

What are constitutional sx of UG dz?

Answer 1

back pain, dysuria, nocturia, unable to empty bladder, hematuria, incontinence, polyuria, proteinuria,

Question 2

What is the most common symptoms of UG dz?

Answer 2

back pain as it is likely kidney stones or infected

Question 3

What are sx that are only common to men?

Answer 3

difficulty with starting or stopping urine, testicular pain, swelling or mass in groin

Question 4

What are risk factors for UG?

Answer 4

over 65, hx of diabetes, HTN, kidney dz, cardiac issues , stroke, kidney stones, UTI, autoimmune dz

Question 5

What races are more likely to get UG dz?

Answer 5

african, hispanic, pacific island, native american

Question 6

Who should be screened for UG?

Answer 6

men over 45, men with back pain and dysuria, changes in urinary patterns, any constitutional dx that isn’t mechanical

Question 7

What is pseudo neural pain?

Answer 7

T10-T12 pain related to irritation of costal nerves, usually from some type of trauma

Question 8

How do you R/I or R/O pseudo neural pain?

Answer 8

RO- percussion of kidney, GU screen

RI- A/P jt mob of ribs will produce sx therefore not UG problem

Question 9

Is an upper UTI or lower UTI more common?

Answer 9

lower is more common but upper is more severe

Question 10

What is involved with upper UTI?

Answer 10

kidney, ureteral

Question 11

What are sx of upper UTI?

Answer 11

flank pain, fever chills, hematuria, pyuria, nocturia

Question 12

What is involved in lower UTI?

Answer 12

bladder, urethra

Question 13

What are sx of lower UTI?

Answer 13

polyuria, increased urgency, LBP/pelvic pain, dysuria, hematuria, pyuria

confusion with aging adults

Question 14

What is an upper GU obstruction?

Answer 14

could be a kidney tumor or kidney stone

Question 15

What are sx of upper GU obstruction?

Answer 15

renal colic, N/V, hematuria, fever chills, increased urge but nothing happening

Question 16

What is a lower GU obstruction?

Answer 16

bladder tumor, BPH, prostate cancer

sx: can’t empty bladder, incontinence

Question 17

What age are men more likely to get a BPH?

Answer 17

over 50

Question 18

What are sx of BPH?

Answer 18

bladder never empties, frequent urination, straining, increased risk of UTI

Question 19

What is prostate cancer?

Answer 19

2nd most common type, of all types of male cancers is 1/3 of them in men, very slow growing

Question 20

Who is at risk for prostate cancer?

Answer 20

over 65 and increases with age, family hx, diet (high protein/fat), african american more at risk

same sx as BPH

Question 21

What are 4 types of UI?

Answer 21

1. stress
2. urge
3. overflow
4. mxied

Question 22

What unique population might this occur in?

Answer 22

elite female athletes (tennis)

Question 23

Is UI a normal part of aging?

Answer 23

NO

Question 24

What if you have UI with C spine pain?

Answer 24

red flag, usually trauma related