Case Studies Urinary System Medical Terminology Student Learning…

Case Studies Urinary System Medical Terminology Student Learning… Case Studies Urinary System Medical Terminology Student Learning Outcome #1- Patient History The patient is a 75- year- old male with a history of hematuria, dysuria, chronic UTIs, and benign prostatic hypertrophy.  At present, he has nocturia three times per night with slow urinary stream.  A previous IVP showed distended urinary bladder with large post void residual. In the kidney there was evidence of cortical renal cysts.  Cystoscopy was performed, revealing a diverticulum of the bladder with a neoplastic lesion within the diverticulum.  A biopsy was performed, and it showed ulceration and chronic cystitis, but no malignancy. The patient has a history of: Bladder cancerProstate cancerPainful urinationProtein in his urine What x-ray test showed an abnormality of the bladder?CystoscopyPelvic ultrasoundCystourethrogramIntravenous pyelogram   What is diverticulum?Neoplastic  lesionOutpouching of a wall of an organInflammatory region of an organSac of fluid  in an organ The biopsy revealed: Inflammation and defect in the bladder liningCarcinoma of the bladderDistended urinary bladderUrinary tract infection .   Case Studies, Continued#2- UTI in ChildrenThe symptoms of urinary tract infections in older children are similar to those seen in adults.  Cystitis is manifest by suprapubic discomfort, burning, urgency, and polyuria.  An upper UTI such as pyelonephritis is manifest by chills, fever, and flank (the sides of the body, between the ribs and the ilium) pain.  Any child previously toilet-trained who suddenly develops enuresis or day-time wetting should be evaluated.  However, many UTIs in children are asymptomatic and the younger the child, the more obscure the symptoms.  An infant with a UTI may present only with fever, lethargy, irritability, and/or failure to thrive. A symptom of cystitis is: Inability to urinateFrequent urinationBack painChills An example of an upper UTI is: NephrosclerosisFlank painBladder infectionInflammation of the renal pelvis Enuresis means: BedwettingNocturiaAnuriaInvoluntary urination What type of symptoms do children with UTIs frequently manifest? A- Blood in the urine  B- Protein in the urine  C- Often no symptoms D-Discomfort over the hip bone  #3- Short Answer Critical Thinking QuestionA 60-year-old female patient must travel a long distance to undergo kidney dialysis.  Her physician will be recommending peritoneal dialysis rather than hemodialysis. Explain the difference between peritoneal and hemodialysis, and why one method is recommended over the other ?  Case Studies, continued#4- OPERATIVE REPORTPatient Name:  John Smith                      Date of Operation:  May 21, 201x Preoperative Diagnosis:  Urinary tract obstruction Postoperative Diagnosis:  Ureteral calculi        Surgery Performed:  Ureteroscopy with calculus extraction Indications: The patient, a 31 year old previously healthy man, presented with complaints of flank pain, oliguria, nausea, and chills.  Patient denied gross hematuria.  Diagnostic studies included a KUB and intravenous urogram and revealed the presence of a ureteral stone. Procedure:  The patient was placed in the dorsal lithotomy position.  The area was draped and prepared in the standard manner. Thirty (30) ml of topical anesthesia (1% Lidocaine) was administered, and a penile clamp was applied to ensure retention.  The ureteroscope was inserted, with access to the middle third of the ureter gained by passing a guide wire under fluoroscopic control.  The guide wire was advanced beyond the stone, and the calculus was delivered through the ureter, engaged in a retrieval basket, and removed. The patient tolerated the procedure well and left the OR in good condition. Melvin Peabody, M.D., Urologist The patient presented with a complaint of :Difficult or painful urinationExcessive urineScanty urinePus in the urine The presence of a ureteral stone was revealed by an x-ray image of the abdomen (KUB) and a (an): A- CT scan of the bladder and ureters with intravenous contrast medium B- Ultrasound test of the bladder and ureters C- X-ray image of the urinary tract using intravenous contrast medium D.X-ray image of the ureters      #5- Short Answer Critical Thinking QuestionA 46-year-old mother of three comes to the emergency department complaining of possible urinary tract infection.  Her diagnoses are recurrent cystitis and cystocele.  The doctor prescribes antibiotics and tells her to watch for signs of pyelonephritis. He has also ordered the patient an outpatient cystoscopy and a voiding cystogram. Briefly describe how treatment options are different for this patient’s two diagnoses of cystitis and cystocele?  Which diagnosis requires immediate attention and why? Name: ________________________________________________Date: ________________________________________________ ANSWER  – Student Learning Outcome#1 Patient History1  __________2  __________3  __________4  __________ #2 UTI In Children1 ___________2 ___________3 ___________4 ___________ #3   Short Answer:    #4  Operative Report1 ____________2 ____________ #5    Short Answer:  Health Science Science NursingAH 101Share QuestionEmailCopy link Comments (0)

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