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- A 36-year-old nulliparous female presented to the Emergency Department with a history of severe lower abdominal pain and an inability to pass urine for the last 8 hours. Abdominal examination revealed a tender palpable bladder midway between the pubic symphysis and umbilicus. The rest of the clinical assessment including medication history, gynecological examination, and neurological assessment was unremarkable. Serum electrolytes, urea, creatinine, and calcium were all within normal limits. A large distended bladder, as well as a pelvic mass, was visualized on point-of-care ultrasonography. An abdominal CT scan that was requested after insertion of a size 14 French urinary catheter reported the presence of a large posterior uterine wall mass (10,5 cm x 10,6 cm), anterior displacement of the urinary bladder, and mild (grade I) bilateral hydronephrosis/hydroureter. After being transferred to the gynecology ward, she later underwent a total abdominal hysterectomy where she was discharged…Answer in 5-6 sentences: 3. Explain why glucose test that is normally reabsorbed in the proximal convoluted tubule may appear in the urine, and state the renal threshold levels for glucose.What is cystitis?Describe i) the cause of ii)signs and symptoms of urinary tract infections. Why does it tend to affect women more than men? Give the name ofbthe drug that is most commonly used to treat cystitis. ANSWER SHOULD INCLUDE: Give definition of "cystitis" Type of infection (i.e. causative agent) and how it gets into the body. Description of symptoms i.e. UTI symptoms Women more risk of cystitis - i.e. explain position and length of urethra. Identify drug treatment and route of administration
- Name 6 abnormal constituents that might be found in a urinalysis and the corresponding clinical terms.Mention 5 disorders that could be detected through urinalysis and briefly discuss eachMake a Nursing Care Plan and FDAR Chart (Focus Data Action Response) about PRIXIMAS 3rd URETEROLITHIASIS RIGHT S/P CYSTO RGP URS ICL R, D) STENT R 4/1
- Indicate whether the following sentences is True or False IgA nephropathy is the most common type of glomerulonephritis, where polymeric IgA deposition causes glomerular membrane damage and can be examined by a kidney biopsy These lab tests can be required for diagnosing anemia: serum ferritin, transferrin saturation, vit B12, folate, and iron levels24) Male,22 years old, found swelling of both lower extremities and eyelids for more than 4 months. PE: BP145/90 mmHg, urine protein++,urine red blood cells++/HP. The diagnosis is most likely() A Acute nephritis B Chronic Nephritis C Nephrotic syndrome D Rapidly progressive nephritis E Hypertensive nephropathyGive Definition, Symptoms/causes (give at least 2), and Treatment (give at least 2) Kidney Stones (nephrolithiasis) Urinary Incontinence Kidney Cyst Chronic Kidney Disease (CKD) Polycystic kidney disease (PKD)
- A male university student presented with left sided abdom- inal pain radiating to the groin. The pain had lasted ten days and was increasing. He felt nauseous and had been off food for two days. He reported that he had a UTI one year previ- ously and his brother and aunt had both had renal stones in the past. On examination his abdomen was tender, with pain local- ized to the left pelvic region. A urinary dipstick test was positive for blood (trace), protein, leukocytes, and ketones. Baseline laboratory investigations (serum sodium, potas- sium, creatinine, calcium, phosphate, full blood count) were all normal, but an X-ray demonstrated a 1.5 cm diam- eter stone at the junction of the left kidney and its ureter. This was initially treated with stenting of the left ureter and the patient was discharged pending further investigation. A full metabolic 'stone screen' demonstrated no abnormal- ities other than a positive cystine screening test. Urinary cystine excretion was 2008 umol/24h…A male patient calls the office complaining of bloody urine accompanied by edema, headache, and flank or pelvic pain. Additionally, he relates that he is experiencing lumbar pain, abdominal pain, and tenderness. 1. How would you handle this call? 2. Recognizing the symptoms as possible a urinary tract condition, what diagnostic procedures would you anticipate being performed? 3. If the anticipated diagnostic procedures are performed, what results would you anticipate?After reading the following article, answer the questions mentioned below. https://todaysveterinarypractice.com/urology-renal-medicine/managing-feline-urethral-obstruction/ 1. What diagnostic tests should be performed on a patient with suspected urethral obstruction and why? 2. Explain the priorities when stabilizing a patient with urethral obstruction. 3. Explain the supportive care that should be implemented for a patient with urethral obstruction.