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Chapter 9	
  
        urinary system terms



By Alex Angelo
Urinary	
  Tract	
  Infection	
  UTI	
  


  An	
  infection	
  that	
  affects	
  
  any	
  part	
  of	
  the	
  unary	
  
  tract.	
  
  Most	
  common	
  pathogen	
  
  is	
  E	
  Coli	
  accounting	
  for	
  
  80%-­‐85%	
  
  2nd	
  most	
  	
  common	
  is	
  
  Staphylococcus	
  
  Saprophyticus	
  
Symptoms of UTI"


  Burning	
  during	
  Urination	
             lower abdomen
  (dysuria)	
                                  discomfort"
  Frequency	
  to	
  urinate	
                 low-grade fever"
  Cloudy	
  or	
  foul	
  smelling	
           pelvic pressure"
  urine	
                                      Malaise"
  Blood	
  in	
  urine	
                 "
  (hematuria)	
                          "
Risk	
  Factors	
  for	
  UTI	
  


  Intercourse:	
  for	
  young	
                 Urinary	
  Catheters:	
  An	
  
  women	
  sexual	
                              unsterile	
  catheter	
  can	
  
  intercourse	
  accounts	
  for	
               cause	
  a	
  UTI	
  
  75%	
  to	
  90%	
  of	
  infections;	
  
                                                 Others:	
  	
  heredity	
  and	
  
  Gender:	
  Women	
  are	
  more	
  
                                                 diabetes	
  can	
  also	
  cause	
  
  prone	
  to	
  UTI	
  due	
  to	
  the	
  
  close	
  proximity	
  of	
  the	
              UTI	
  
  urethra	
  to	
  the	
  anus.	
  
Diagnosis	
  and	
  Treatment	
  of	
  UTI	
  


  In	
  most	
  case	
  a	
  diagnosis	
       Oral	
  antibiotics	
  are	
  used	
  
  can	
  be	
  made	
  by	
                    and	
  clear	
  up	
  the	
  infection	
  
  symptoms	
  alone.	
                         it	
  a	
  couple	
  of	
  days.	
  
  A	
  Urinalysis	
  is	
  used	
  in	
  
  more	
  complicated	
  cases.	
  
Urine	
  Culture	
  UC	
  


  A	
  urine	
  culture	
  is	
  a	
                Urine	
  is	
  collected	
  
  laboratory	
  test	
  to	
  detect	
              midstream	
  into	
  a	
  into	
  a	
  
  the	
  presence	
  of	
  bacteria	
               container.	
  	
  Usually	
  around	
  
  in	
  urine.	
                                    2	
  fl	
  oz	
  
  A	
  urine	
  culture	
  is	
  used	
  in	
  
  the	
  diagnosis	
  of	
  a	
  urinary	
  
  tract	
  infection.(UTI)	
  
Results	
  of	
  a	
  UC	
  


  Normal:	
  	
  No	
  presence	
  of	
       Abnormal:	
  Presence	
  of	
  
  bacteria	
  in	
  urine.	
  	
  The	
       bacteria	
  in	
  urine.	
  	
  A	
  count	
  
  culture	
  is	
  negative.	
                of	
  100,000	
  or	
  more	
  
                                              bacteria	
  per	
  a	
  milliliter	
  is	
  
                                              an	
  infection.	
  	
  A	
  count	
  of	
  
                                              100,000	
  or	
  less	
  is	
  possibly	
  
                                              a	
  contamination	
  of	
  the	
  
                                              sample.	
  
Retrograde	
  Pyelogram	
  RP	
  


  Retrograde	
  Pyelogram	
  is	
                       A	
  retrograde	
  pyelogram	
  is	
  
  a	
  uretic	
  procedure	
  where	
                   often	
  used	
  to	
  determine	
  if	
  
  a	
  physician	
  uses	
  dye	
  to	
                 a	
  kidney	
  stone	
  is	
  blocking	
  
  visualize	
  the	
  urinary	
  tract.	
  	
  	
       the	
  urinary	
  tract.	
  	
  
Procedure	
  for	
  a	
  RP	
  


  Fist	
  a	
  local	
  or	
  regional	
  
  anesthetic	
  is	
  applied	
  to	
  
  numb	
  the	
  area.	
  Next	
  
  cytoscope	
  is	
  insertened	
  into	
  
  the	
  patients	
  urethra.	
  Then	
  a	
  
  catheter	
  is	
  inserted	
  through	
  
  the	
  cytoscope.	
  	
  Finally	
  a	
  	
  dye	
  
  is	
  injected	
  through	
  the	
  
  cytoscope	
  and	
  x-­‐rays	
  are	
  
  taken.	
  	
  
Results	
  of	
  a	
  RP	
  


  Normal:	
  Kidneys,	
  blotter	
       Abnormal:	
  The	
  flow	
  of	
  
  and	
  ureters	
  show	
  now	
        the	
  dye	
  is	
  blocked.	
  	
  
  blockage	
  and	
  appear	
            Revealing	
  the	
  location	
  of	
  
  normal	
                               a	
  stone.	
  
Blood	
  Urea	
  Nitrogen	
  BUN	
  


  Blood	
  urea	
  nitrogen	
  is	
  a	
      A	
  BUN	
  is	
  done	
  to	
  test	
  the	
  
  measurement	
  of	
  the	
                       function	
  of	
  the	
  kidneys.	
  	
  	
  
  amount	
  of	
  nitrogen	
  in	
  the	
  
  blood	
  stream	
  in	
  the	
  form	
  
  of	
  urea.	
  	
  
Procedure	
  of	
  a	
  	
  BUN	
  


  First	
  an	
  elastic	
  band	
  is	
  
  wrapped	
  around	
  the	
  
  upper	
  arm	
  to	
  stop	
  the	
  
  flow	
  of	
  blood.	
  	
  Next	
  a	
  
  sterile	
  needle	
  is	
  inserted	
  
  into	
  the	
  vain.	
  	
  Blood	
  is	
  
  collected	
  through	
  the	
  
  needle	
  into	
  a	
  tube.	
  	
  Then,	
  
  the	
  needle	
  is	
  removed	
  
  and	
  pressure	
  is	
  applied	
  to	
  
  the	
  site.	
  	
  	
  
Results	
  of	
  a	
  BUN	
  


  Normal:	
  6-­‐20	
  milligrams	
           A	
  high	
  reading	
  may	
  be	
  
  per	
  deciliter	
  or	
  2.1-­‐7.1	
       caused	
  by	
  a	
  damaged	
  or	
  
  millimoles	
  per	
  liter	
                infected	
  kidney.	
  
                                              A	
  low	
  reading	
  may	
  be	
  
                                              caused	
  by	
  a	
  poor	
  diet	
  or	
  a	
  
                                              damaged	
  liver.	
  
Results	
  of	
  a	
  BUN	
  


  Normal:	
  6-­‐20	
  milligrams	
           A	
  high	
  reading	
  may	
  be	
  
  per	
  deciliter	
  or	
  2.1-­‐7.1	
       caused	
  by	
  a	
  damaged	
  or	
  
  millimoles	
  per	
  liter	
                infected	
  kidney.	
  
                                              A	
  low	
  reading	
  may	
  be	
  
                                              caused	
  by	
  a	
  poor	
  diet	
  or	
  a	
  
                                              damaged	
  liver.	
  
Acute	
  Renal	
  Failure	
  ARF	
  


  Acute	
  renal	
  failure	
  is	
  a	
  
  rapid	
  lose	
  of	
  kidney	
  
  function.	
  
Symptoms	
  and	
  Causes	
  of	
  ARF	
  


  Fatigue	
                          Perenal:	
  A	
  decrease	
  of	
  
  Headaches	
                        blood	
  flow	
  to	
  the	
  kidney	
  
  Loose	
  of	
  appetite	
          Intrinsic:	
  Damage	
  to	
  the	
  
  Lower	
  back	
  pain	
            kidney	
  itself	
  
                                     Postrenal:	
  	
  An	
  obstruction	
  
  Dehydration	
  
                                     of	
  the	
  tract	
  
  Irregular	
  heart	
  beat	
  
Diagnosis	
  and	
  treatment	
  of	
  ARF	
  


  Can	
  be	
  detected	
  by	
  a	
             A	
  patient	
  my	
  never	
  
  decrease	
  in	
  urine	
  output.	
           recover	
  full	
  renal	
  function	
  
  Blood	
  can	
  be	
  tested	
  for	
          and	
  will	
  require	
  dialysis	
  
  presence	
  of	
  substances	
  
  that	
  are	
  eliminated	
  by	
  the	
  
  kidneys.	
  

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Ch9

  • 1. Chapter 9   urinary system terms By Alex Angelo
  • 2. Urinary  Tract  Infection  UTI     An  infection  that  affects   any  part  of  the  unary   tract.     Most  common  pathogen   is  E  Coli  accounting  for   80%-­‐85%     2nd  most    common  is   Staphylococcus   Saprophyticus  
  • 3. Symptoms of UTI"   Burning  during  Urination     lower abdomen (dysuria)   discomfort"   Frequency  to  urinate     low-grade fever"   Cloudy  or  foul  smelling     pelvic pressure" urine     Malaise"   Blood  in  urine   " (hematuria)   "
  • 4. Risk  Factors  for  UTI     Intercourse:  for  young     Urinary  Catheters:  An   women  sexual   unsterile  catheter  can   intercourse  accounts  for   cause  a  UTI   75%  to  90%  of  infections;     Others:    heredity  and     Gender:  Women  are  more   diabetes  can  also  cause   prone  to  UTI  due  to  the   close  proximity  of  the   UTI   urethra  to  the  anus.  
  • 5. Diagnosis  and  Treatment  of  UTI     In  most  case  a  diagnosis     Oral  antibiotics  are  used   can  be  made  by   and  clear  up  the  infection   symptoms  alone.   it  a  couple  of  days.     A  Urinalysis  is  used  in   more  complicated  cases.  
  • 6. Urine  Culture  UC     A  urine  culture  is  a     Urine  is  collected   laboratory  test  to  detect   midstream  into  a  into  a   the  presence  of  bacteria   container.    Usually  around   in  urine.   2  fl  oz     A  urine  culture  is  used  in   the  diagnosis  of  a  urinary   tract  infection.(UTI)  
  • 7. Results  of  a  UC     Normal:    No  presence  of     Abnormal:  Presence  of   bacteria  in  urine.    The   bacteria  in  urine.    A  count   culture  is  negative.   of  100,000  or  more   bacteria  per  a  milliliter  is   an  infection.    A  count  of   100,000  or  less  is  possibly   a  contamination  of  the   sample.  
  • 8. Retrograde  Pyelogram  RP     Retrograde  Pyelogram  is     A  retrograde  pyelogram  is   a  uretic  procedure  where   often  used  to  determine  if   a  physician  uses  dye  to   a  kidney  stone  is  blocking   visualize  the  urinary  tract.       the  urinary  tract.    
  • 9. Procedure  for  a  RP     Fist  a  local  or  regional   anesthetic  is  applied  to   numb  the  area.  Next   cytoscope  is  insertened  into   the  patients  urethra.  Then  a   catheter  is  inserted  through   the  cytoscope.    Finally  a    dye   is  injected  through  the   cytoscope  and  x-­‐rays  are   taken.    
  • 10. Results  of  a  RP     Normal:  Kidneys,  blotter     Abnormal:  The  flow  of   and  ureters  show  now   the  dye  is  blocked.     blockage  and  appear   Revealing  the  location  of   normal   a  stone.  
  • 11. Blood  Urea  Nitrogen  BUN     Blood  urea  nitrogen  is  a   A  BUN  is  done  to  test  the   measurement  of  the   function  of  the  kidneys.       amount  of  nitrogen  in  the   blood  stream  in  the  form   of  urea.    
  • 12. Procedure  of  a    BUN     First  an  elastic  band  is   wrapped  around  the   upper  arm  to  stop  the   flow  of  blood.    Next  a   sterile  needle  is  inserted   into  the  vain.    Blood  is   collected  through  the   needle  into  a  tube.    Then,   the  needle  is  removed   and  pressure  is  applied  to   the  site.      
  • 13. Results  of  a  BUN     Normal:  6-­‐20  milligrams     A  high  reading  may  be   per  deciliter  or  2.1-­‐7.1   caused  by  a  damaged  or   millimoles  per  liter   infected  kidney.     A  low  reading  may  be   caused  by  a  poor  diet  or  a   damaged  liver.  
  • 14. Results  of  a  BUN     Normal:  6-­‐20  milligrams     A  high  reading  may  be   per  deciliter  or  2.1-­‐7.1   caused  by  a  damaged  or   millimoles  per  liter   infected  kidney.     A  low  reading  may  be   caused  by  a  poor  diet  or  a   damaged  liver.  
  • 15. Acute  Renal  Failure  ARF     Acute  renal  failure  is  a   rapid  lose  of  kidney   function.  
  • 16. Symptoms  and  Causes  of  ARF     Fatigue     Perenal:  A  decrease  of     Headaches   blood  flow  to  the  kidney     Loose  of  appetite     Intrinsic:  Damage  to  the     Lower  back  pain   kidney  itself     Postrenal:    An  obstruction     Dehydration   of  the  tract     Irregular  heart  beat  
  • 17. Diagnosis  and  treatment  of  ARF     Can  be  detected  by  a     A  patient  my  never   decrease  in  urine  output.   recover  full  renal  function     Blood  can  be  tested  for   and  will  require  dialysis   presence  of  substances   that  are  eliminated  by  the   kidneys.