Exam (elaborations)
Anuria, Dysuria, Enuresis.
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- Clin Skills
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- Clin Skills
Anuria, Dysuria, Enuresis.
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Anuria, Dysuria, EnuresisDefinitions of anuria vs oliguria
Anuria = <100mL urine/24 hours in adults
Oliguria = <500mL urine/24 hours in adults
What is the most common cause of anuria and oliguria?
Bladder outlet obstruction
-Decreased renal blood flow, decreased GFR, decreased urine production
or
-Intra-renal or urethral obstruction
What would you find on history and physical exam of BPH?
Gradual onset of difficulty urinating
Diminished stream
Enlarged prostate
When dealing with a patient with problems urinating, what should you always ask
for?
Look at patient's medication list!!
Anticholinergics, antihistamines and sympathomimetics are most often culprits of
urinary retention
Firm mass that is superior to pubic symphysis and is dull to percussion
indicates...
Distended bladder
Hard mass that is superior to pubic symphysis indicates...
CANCER!!!
Probably bladder cancer
Prostatic tenderness indicates
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