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Dysuria
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Painful urination
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Hematuria
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Blood in the urine
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Cystitis
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Inflammation in the bladder wall caused by ascending bacterial infection from urethra
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Treatment for cystitis
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Full coarse of ABX:
put them on broad spectrum ABX then take a urine culture for sensitivity testing and then put them on a specific ABX for specific infection
retest urine culture after ABX tx
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Risk factors for cystitis
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Urinary stasis
benign prostatic hypertrophy
sexual intercoarse
pregnancy
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BPH
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Benign prostatic hypertrophy
when prostate gland obstructs flow of the ureters
(external obstruction)
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Pyelonephritis
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Inflammation of the renal pelvis and parenchyma
ascending infection from the bladder (cystitis, stictures, stones)
men with BPH at risk
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Clinical manifestations of pyelonephritis
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Acute- chills, fever, malaise, flank pain, dysuria, frequency and foul smelling urine
chronic- bacterial invasion and repeated inflammation, leads to scarring, fibrosis and tubular dilation, may have symptoms of acute or assymptomatic
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Foul smelling urine is a symptom of ...
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"itis" or inflammation
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Oliguria
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Little or no urination
<400 ml/qd of urine
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Glomerulonephritis
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Inflammation of the glomeruli
affects both kidneys equally
caused by two types of antibody-induced injury
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Clinical manifestations of glomerulonephritis
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Hematuria, RBC, WBC, casts, protein in urine, oliguria, edema, hypertension
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#1 cause of kidney stones
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Diet
decreased fluid intake that increases urinary concentration (dehydration)
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Pyuria
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Purulent pus in the urine
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Polyuria
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Increased urine production
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