Urinary System - Common Assessment Abnormalities

These are common abnormalities found during assessment of the urinary system.

16 cards   |   Total Attempts: 188
  

Cards In This Set

Front Back
Anuria
Description
Technically no urination (24-hr urine output <100ml)
Possible Etiology & Significance
Acute renal failure, end-stage renal disease, bilateral ureteral obstruction
Burning on urination
Description
Stinging pain in urethral area
Possible Etiology & Significance
Urethral irritation, urinary tract infection
Chemical cystitis
Description
Painful or difficult urination
Possible Etiology & Significance
Use of spermicides (especially with diaphragm), excessive douching
Dysuria
Description
Painful or difficult urination
Possible Etiology & Significance
Sign of urinary tract infection and interstitial cystitis and wide variety of pathologic conditions.
Ennuresis
Description
Involuntary nocturnal urinating
Possible Etiology & Significance
Symptomatic of lower urinary tract disorder
Frequency
Description
Increased incidence of urinating
Possible Etiology & Significance
Acutely inflamed bladder, retention with overflow, excess fluid intake
Hematuria
Description
Blood in the urine
Possible Etiology & Significance
Cancer of gentourinary tract, blood dyscrasias, renal disease, urinary tract infection, stones in kidney or ureter, medications (anticoagulants)
Hesitancy
Description
Delay or difficulty in initiating urination
Possible Etiology & Significance
Partial urethral obstruction
Incontinence
Description
Inability to voluntarily control discharge of urine
Possible Etiology & Significance
Neurogenic bladder, bladder infection, injury to external sphincter
Nocturia
Description
Frequency of urination at night
Possible Etiology & Significance
Renal disease with impaired concentrating ability, bladder obstruction, heart failure, diabetes mellitus, finding after renal transplant.
Oliguria
Description
Diminished amount of urine in a given time (24-hr urine output of 100-400 ml)
Possible Etiology & Significance
Severe dehydration, shock, transfusion reaction, kidney disease, end-stage renal disease
Pain
Description
Presence over suprapubic area (related to bladder), urethral pain (irritation of bladder neck), flank (CVA) pain.
Possible Etiology & Significance
Infection, urinary retention, foreign body in urinary tract, urethritis, pyelonephritis, renal colic or stones.
Pneumaturia
Description
Passage of urine containing gas
Possible Etiology & Significance
Fistula connections between bowel and bladder, gas-forming urinary tract infections.
Polyuria
Description
Large volume of urine in a given time.
Possible Etiology & Significance
Diabetes mellitus, diabetes insipidus, chronic renal failure, diuretics, excess fluid intake
Retention
Description
Inability to urinate even though bladder contains excessive amount of urine
Possible Etiology & Significance
Finding after pelvic surgery, childbirth, catheter removal; urethral stricture or obstruction; neurogenic bladder; postanesthesia