Professional Documents
Culture Documents
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Pain:
Kidney pain
Ureteral pain
Bladder pain
Dysuria
Other symptoms other than pain may
accompany voiding:
Urgency
Frequency
Hesitency
Incontinence
Bladder disorders
may cause
suprapubic pain
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Urgency:
Is an unusually intense and immediate desire to
void. It can be associated with infection, old age
Frequency:
urination at short intervals without increase in daily
volume or urinary output, due to reduced
bladder capacity. It can be associated with
infection, bladder neck problems
Hesitency:
difficulty in beginning the flow of urine; associated
with BPH in men and narrowing of the urethral
opening and may be caused by emotional stress
Incontinence:
is any involuntary leakage of urine.
Common etiology are:
1. Polyuria
2. Prostate disorders (BPH and cancers)
3. Caffeine and Cola
4. Brain disorders (MS, spinal cord injuries,
Parkinson disease, stroke)
Stress incontinence,
is due essentially to insufficient strength of
the pelvic floor muscles.
Urge incontinence
is involuntary loss of urine occurring for no
apparent reason while suddenly feeling
the need to urinate.
Overflow incontinence:
Sometimes people find that they cannot stop
their bladders from constantly dribbling,
or continuing to dribble for some time
after they have passed urine.
Oliguria:
is the low output of urine, It is clinically
classified as an output below 400 ml/day
The decreased output of urine may be a
sign of dehydration, renal failure,
hypovolemic shock, multiple organ
dysfunction syndrome, or urinary
obstruction/urinary retention.
Anuria:
absence of urine, clinically classified as
below 100ml/day
Anuria can be caused by
1. total urinary tract obstruction
2. total renal artery or vein occlusion
3. Shock
4. Cortical necrosis
5. severe ATN
6. Rapidly progressive glomerulonephritis
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Polyuria:
urine>3 L/d
Polyuria results from two potential
mechanisms:
nonabsorbable solutes diuresis
water diuresis (DI)
If the urine volume is >3 L/d and urine
osmolality is >300 mosmol/L, then a
solute diuresis is clearly present and a
search for the responsible solute(s) is
mandatory
Urine
supernatant:
Urine Sediment:
Urine Dipstick
Glucose
Bilirubin
Ketones
Specific Gravity
Blood
pH
Protein
Urobilinogen
Nitrite
Leukocyte Esterase
Glucosuria
Negative
Trace (100 mg/dL)
)mg/dL 250+ (
)mg/dL 500++ (
)mg/dL 1000+++ (
)mg/dL+ 2000++++ (
Bilirrubinuria
Negative
)weak+ (
)moderate++ (
)strong+++ (
Urobilinogenuria
mg/dL 0.2
mg/dL 1
mg/dL 2
mg/dL 4
mg/dL 8
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Pyuria
refers to urine
which contains pus.
Defined as the
presence of 4 or
more neutrophils
per high power
field
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Infection
tubulointerstiti
al processes
such as
interstitial
nephritis,
systemic lupus
erythematosus
, and
transplant
rejection.
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Protein
% of Total
Maximum
Albumin
30%
Tamm-Horsfall
50%
Immunoglobulins
12%
mg
Secretory IgA
3%
mg
Other
5%
mg
TOTAL
100%
Daily
30 mg
40 mg
14
6
10
150 mg
Cause
Mild glomerulopathies
Tubular proteinuria
Overflow proteinuria
0.15 to 2.0 g
Usually glomerular
2.0 to 4.0 g
Always glomerular
>4.0 g
Uremia
is a term used to loosely describe the
symptoms accompanying kidney failure.
Early symptoms include anorexia and
lethargy, and late symptoms can include
decreased mental acuity and coma.
Other symptoms include fatigue, nausea,
vomiting, bone pain, itch, shortness of
breath, and seizures.
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Upper UTI:
Pyelonephritis
Perinephric abcess
Prostitis
Lower UTI:
Cystitis
urethritis
SBP-mmHg
DBP-mmHg
Normal
<120
Prehypertens 120-139
ion
And <80
Or 80-89
Stage 1
140-159
Stage 2
160
Isolated
140
systolic HTN
Or 90-99
100
And <90