Urinary System.pptx - URINARY SYSTEM CHAPTER 20 OBJECTIVES...

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CHAPTER 20 URINARY SYSTEM
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OBJECTIVES Describe A&P of the urinary system Develop questions to be used when completing the focused interview Describe exam techniques for assessment of the urinary system Differentiate normal from abnormal findings in the physical assessment of the urinary system
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Figure 20.1 The urinary system. A. Anterior view of the urinary organs of a female .
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Figure 20.1 (continued) The urinary system. B. Relationship of the kidneys to the vertebrae . B
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Figure 20.3 Urinary assessment landmarks . The rectus abdominis muscles and the symphysis pubis. B
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Figure 20.3 Landmarks for urinary assessment. A. The costovertebral angle. A
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Subjective Data Nocturia Urgency or Dysurina Incontinence Fever Hematuria, Amber, Foamy Weight gain/edema Nausea or Vomiting Confusion* Medications Redness or irritation in urethral area - pruritis Back, Flank, Abdominal pain Smoking, Substance abuse Past Medical Hx Parkinsons, prostate enlargement, multiple sclerosis, CVA Family Hx Surgical Hx
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Incontinence- social isolation and self esteem Hygiene practices Prevalence of hypertension and diabetes high amongst African American and Hispanics Renal calculi greater amongst Caucasians Urinary tract infections may result from sexual trauma Hesitation to discuss urinary system function Psychosocial Considerations
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Renal blood flow and glomerular filtration rate increase at birth compared to fetal filtration Infant fluid and electrolyte balance is precarious Keep genital areas clean Toilet training, cleanliness Examine for irregularities at birth Undescended testes, scrotal edema, non-central placement of urinary meatus. Bedwetting: “enuresis” – concerning after 5 years of age – may be social and family issues, infection, diabetes.
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