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Diseases and disorders
Urinary system Diseases and disorders
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cystitis Inflammation of the bladder
Cause=pathogens entering the urinary meatus More common in females due to short urethra Symptoms=frequent urination, hematuria, lower back pain, bladder spasm, fever Treatment=antibiotics, increase fluid intake
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glomerulonephritis AKA nephritis Inflammation of the glomerulus
Can be acute or chronic
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Acute glomerulonephritis
Usually follows a streptococcal infection like strep throat, scarlet fever, rheumatic fever Symptoms=chills, fever, fatigue, edema, oliguria, hematuria, albuminuria
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Acute glomerulonephritis
Treatment=rest, salt restriction, maintain fluid & electrolyte balance, antipyretics, diuretics, antibiotics With treatment, kidney function is usually restored, & prognosis is good
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chronic glomerulonephritis
Repeated cases of acute nephritis can cause chronic nephritis Progressive, causes scarring & sclerosing of glomeruli Early symptoms=hematuria, albuminuria, htn With disease progression more glomeruli are destroyed
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chronic glomerulonephritis
Later symptoms=edema, fatigue, anemia, htn, anorexia, weight loss, chf, pyuria, renal failure, death Treatment=low Na diet, antihypertensive meds, maintain fluids & electrolytes, hemodialysis, kidney transplant when both kidneys are severely damaged
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pyelonephritis Inflammation of the kidney & renal pelvis
Cause=pyogenic (pus-forming) bacteria Symptoms=chills, fever, back pain, fatigue, dysuria, hematuria, pyuria Treatment=antibiotics, increase fluid intake
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Renal calculus Aka urinary calculus or kidney stone
Cause=salts in the urine precipitate (form a solid) Small calculi pass in the urine Larger calculi get stuck in the renal pelvis or ureter
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Renal calculus Symptoms=sudden, intense pain (renal colic), hematuria, nausea & vomiting, frequent urge to void, urinary retention Treatment=increase fluids, pain meds, strain all urine to see if stones are being eliminated
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Renal calculus Treatment=extra-corporeal shock-wave lithotripsy
Lithotripsy=high-energy pressure waves crush the stones so they can be passed in the urine Surgery can be done to remove the calculi
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Renal failure Kidneys stop functioning
Can be acute (ARF) or chronic (CRF)
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Acute Renal failure Caused by hemorrhage, shock, injury, poisoning, nephritis, dehydration Symptoms=oliguria or anuria, headache, ammonia odor to breath, edema, cardiac arrhythmia, uremia
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Acute Renal failure Treatment=dialysis, restrict fluid intake,
Good prognosis if condition causing arf can be corrected
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Chronic Renal failure Results from progressive loss of kidney function
Waste products accumulate in the blood & affect many body systems
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Chronic Renal failure Caused by chronic glomerulonephritis, htn, toxins, diabetes, long-term substance abuse, alcoholism
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Chronic Renal failure Symptoms=nausea, vomiting, diarrhea, weight loss, decreased mental ability, convulsions, muscle irritability, ammonia odor to breath, uremic frost (white crystals on the skin), coma, death
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Chronic Renal failure Treatment=dialysis, diet & fluid restrictions, skin &mouth care Kidney transplant is the only cure
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uremia Aka azotemia Toxic condition that Occurs when kidneys fail & waste products are present in the bloodstream Causes=any condition that affects kidney function (renal failure, chronic glomerulonephritis, hypotension)
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uremia Symptoms=headache, dizziness, nausea, vomiting, ammonia odor to breath, oliguria, anuria, mental confusion, convulsions, coma, eventually death Treatment=restricted diet, cardiac meds to increase bp, dialysis, kidney transplant
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urethritis Inflammation of the urethra
Causes=bacteria (gonococcus), virus, chemicals (bubble bath) More common in males than females
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urethritis Symptoms=dysuria, redness & itching at urinary meatus, purulent discharge Treatment=sitz baths; warm, moist compresses; antibiotics; increase fluid intake
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