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By Alex Angelo Chapter 9 urinary system terms
17
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Page 1: Ch9

By Alex Angelo

Chapter 9  

�urinary system terms

Page 2: Ch9

Urinary  Tract  Infection  UTI  

*  An  infection  that  affects  any  part  of  the  unary  tract.  *  Most  common  pathogen  is  E  Coli  accounting  for  80%-­‐85%  *  2nd  most    common  is  Staphylococcus  Saprophyticus  

Page 3: Ch9

Symptoms of UTI"

*  Burning  during  Urination  (dysuria)  *  Frequency  to  urinate  *  Cloudy  or  foul  smelling  urine  *  Blood  in  urine  (hematuria)  

*  lower abdomen discomfort"*  low-grade fever"*  pelvic pressure"*  Malaise"""

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Risk  Factors  for  UTI  

*  Intercourse:  for  young  women  sexual  intercourse  accounts  for  75%  to  90%  of  infections;  *  Gender:  Women  are  more  prone  to  UTI  due  to  the  close  proximity  of  the  urethra  to  the  anus.  

*  Urinary  Catheters:  An  unsterile  catheter  can  cause  a  UTI  *  Others:    heredity  and  diabetes  can  also  cause  UTI  

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Diagnosis  and  Treatment  of  UTI  

*  In  most  case  a  diagnosis  can  be  made  by  symptoms  alone.  *  A  Urinalysis  is  used  in  more  complicated  cases.  

*  Oral  antibiotics  are  used  and  clear  up  the  infection  it  a  couple  of  days.  

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Urine  Culture  UC  

*  A  urine  culture  is  a  laboratory  test  to  detect  the  presence  of  bacteria  in  urine.  *  A  urine  culture  is  used  in  the  diagnosis  of  a  urinary  tract  infection.(UTI)  

*  Urine  is  collected  midstream  into  a  into  a  container.    Usually  around  2  fl  oz  

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Results  of  a  UC  

*  Normal:    No  presence  of  bacteria  in  urine.    The  culture  is  negative.  

*  Abnormal:  Presence  of  bacteria  in  urine.    A  count  of  100,000  or  more  bacteria  per  a  milliliter  is  an  infection.    A  count  of  100,000  or  less  is  possibly  a  contamination  of  the  sample.  

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Retrograde  Pyelogram  RP  

*  Retrograde  Pyelogram  is  a  uretic  procedure  where  a  physician  uses  dye  to  visualize  the  urinary  tract.      

*  A  retrograde  pyelogram  is  often  used  to  determine  if  a  kidney  stone  is  blocking  the  urinary  tract.    

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Procedure  for  a  RP  

*  Fist  a  local  or  regional  anesthetic  is  applied  to  numb  the  area.  Next  cytoscope  is  insertened  into  the  patients  urethra.  Then  a  catheter  is  inserted  through  the  cytoscope.    Finally  a    dye  is  injected  through  the  cytoscope  and  x-­‐rays  are  taken.    

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Results  of  a  RP  

*  Normal:  Kidneys,  blotter  and  ureters  show  now  blockage  and  appear  normal  

*  Abnormal:  The  flow  of  the  dye  is  blocked.    Revealing  the  location  of  a  stone.  

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Blood  Urea  Nitrogen  BUN  

*  Blood  urea  nitrogen  is  a  measurement  of  the  amount  of  nitrogen  in  the  blood  stream  in  the  form  of  urea.    

A  BUN  is  done  to  test  the  function  of  the  kidneys.      

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Procedure  of  a    BUN  

*  First  an  elastic  band  is  wrapped  around  the  upper  arm  to  stop  the  flow  of  blood.    Next  a  sterile  needle  is  inserted  into  the  vain.    Blood  is  collected  through  the  needle  into  a  tube.    Then,  the  needle  is  removed  and  pressure  is  applied  to  the  site.      

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Results  of  a  BUN  

*  Normal:  6-­‐20  milligrams  per  deciliter  or  2.1-­‐7.1  millimoles  per  liter  

*  A  high  reading  may  be  caused  by  a  damaged  or  infected  kidney.  *  A  low  reading  may  be  caused  by  a  poor  diet  or  a  damaged  liver.  

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Results  of  a  BUN  

*  Normal:  6-­‐20  milligrams  per  deciliter  or  2.1-­‐7.1  millimoles  per  liter  

*  A  high  reading  may  be  caused  by  a  damaged  or  infected  kidney.  *  A  low  reading  may  be  caused  by  a  poor  diet  or  a  damaged  liver.  

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Acute  Renal  Failure  ARF  

*  Acute  renal  failure  is  a  rapid  lose  of  kidney  function.  

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Symptoms  and  Causes  of  ARF  

*  Fatigue  *  Headaches  *  Loose  of  appetite  *  Lower  back  pain  *  Dehydration  *  Irregular  heart  beat  

*  Perenal:  A  decrease  of  blood  flow  to  the  kidney  *  Intrinsic:  Damage  to  the  kidney  itself  *  Postrenal:    An  obstruction  of  the  tract  

Page 17: Ch9

Diagnosis  and  treatment  of  ARF  

*  Can  be  detected  by  a  decrease  in  urine  output.  *  Blood  can  be  tested  for  presence  of  substances  that  are  eliminated  by  the  kidneys.  

*  A  patient  my  never  recover  full  renal  function  and  will  require  dialysis