... Most cases of urethral discharge in both males and females are due to gonorrhea or
Chlamydia trachomatis
. When the smear and culture are negative for gonorrhea, a course of tetracycline can be given as a therapeutic trial to diagnose
Chlamydia
infection. Alternatively, the
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... A significant purulent urethral discharge invariably signals the diagnosis of gonorrhea and, until a Gram stain is done, little consideration is given to the other causes of a nonbloody urethral discharge. However, one should also consider other etiologic agents (
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... Incontinence may be due to loss of voluntary control of urination, in which case neurologic disorders are usually the cause, or it may result from overflow of a distended bladder (overflow incontinence), in which case the cause may be bladder neck obstruction or a flaccid
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... Bladder distention — abnormal enlargement of the bladder — results from an inability to excrete urine, which results in its accumulation. Distention can be caused by a mechanical or anatomic obstruction, neuromuscular disorder, or the use of... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pictures
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... This excretion from the urinary meatus may be purulent, mucoid, or thin; sanguineous or clear; and scant or profuse. It usually develops suddenly, most commonly in men with a prostate infection.
History and physical examination
... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
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... Incontinence, the uncontrollable passage of urine, can result from a bladder abnormality, a neurologic disorder, or an alteration in pelvic muscle strength. A common urologic sign, incontinence may be transient or permanent and may involve large volumes of... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
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... Bladder tumors can develop on the surface of the bladder wall (benign or malignant papillomas) or grow within the bladder wall (generally more virulent) and quickly invade underlying muscles. Ninety percent of bladder tumors are transitional cell carcinomas, arising from the... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Cystitis and urethritis, the two forms of lower urinary tract infection (UTI), are nearly 10 times more common in females than in males and affect approximately 10% to 20% of all females at least once. Lower UTI is also a prevalent bacterial... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Neurogenic bladder (also known as neuromuscular dysfunction of the lower urinary tract, neurologic bladder dysfunction, and neuropathic bladder) refers to all types of bladder dysfunction caused by an interruption of normal bladder... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... The most common congenital malformations of the ureter, bladder, and urethra include duplicated ureter, retrocaval ureter, ectopic orifice of the ureter, stricture or stenosis of the ureter, ureterocele, exstrophy of the bladder, congenital bladder... Causes ... Special considerations ... Pictures
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... Bladder distention—abnormal enlargement of the bladder—results from an inability to excrete urine, which then accumulates in the bladder. Distention can be caused by a mechanical or anatomic obstruction, a neuromuscular disorder, or... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... Urethral discharge from the urinary meatus may be purulent, mucoid, or thin; sanguineous or clear; and scant or profuse. It usually develops suddenly, most commonly in men with a prostate infection.
History and physical ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
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... Incontinence, the uncontrollable passage of urine, can result from a bladder abnormality, a neurologic disorder, or an alteration in pelvic muscle strength. A common urologic sign, incontinence may be transient or permanent and may involve large volumes of urine or scant... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
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... George P.N. Samraj
Discharge from the urethra is a common symptom. The characteristics and the cause of urethral discharge (UD) vary widely. Discharge can be profuse or scanty; clear, yellowish, or white; mucopurulent or serous; bloody, watery, or frank pus. UD... Approach ... History ... Physical examination ... Testing ... Diagnostic assessment
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... Richard Rathe
Urinary incontinence (UI) in adults is one of the most prevalent and underdiagnosed afflictions in the United States (>25 million effected individuals, >50% of nursing home residents). The economic impact is estimated to be more than16 billion (1... Approach ... History ... Physical examination ... Testing ... Diagnostic assessment ... Pictures
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... Differential Overview
❑ Cystitis
❑ Benign prostatic hypertrophy
❑ Pelvic floor relaxation
❑ Drugs
❑ Prostatitis
... Diagnostic Approach ... Clinical Findings
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... Bladder tumors can develop on the surface of the bladder wall (benign or malignant papillomas) or grow within the bladder wall (generally more virulent) and quickly invade underlying muscles. Most bladder tumors (90%) are transitional cell carcinomas, arising... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Also known as neuromuscular dysfunction of the lower urinary tract, neurologic bladder dysfunction, and neuropathic bladder, neurogenic bladder refers to all types of bladder dysfunction caused by an interruption of normal bladder... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Cystitis and urethritis, the two forms of lower urinary tract infection (UTI), are nearly 10 times more common in women than in men and affect approximately 10% to 20% of all women at least once. Lower UTI is also a prevalent bacterial disease in children,... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Bladder distention is an abnormal enlargement of the bladder due to the accumulation of urine arising from an inability to excrete urine. Distention can be caused by a mechanical or anatomic obstruction, neuromuscular disorder, or the use of certain drugs.... Assessment ... History ... Physical examination ... Pediatric pointers ... Geriatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... Bladder distention — abnormal enlargement of the bladder — results from an inability to excrete urine, which results in its accumulation. Distention can be caused by a mechanical or anatomic obstruction, neuromuscular disorder, or the use of certain drugs.... Emergency Actions ... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... Urethral discharge from the urinary meatus may be purulent, mucoid, or thin; sanguineous or clear; and scant or profuse. It usually develops suddenly, most commonly in men with a prostate infection.
History
Ask the patient... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Incontinence, the uncontrollable passage of urine, can result from a bladder abnormality, a neurologic disorder, or an alteration in pelvic muscle strength. A common urologic sign, incontinence may be transient or permanent and may involve large... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Urinaryincontinence or enuresis refers to the involuntary passage of urine. Most children have achieved urine continenceduring the day by 4 yrs of age, and during the night by 6 yrs ofage. Primary incontinence exists when achild has... Principal Causes of Urinary Incontinence ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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... Bladder distention—abnormal enlargement of the bladder—results from an inability to excrete urine, which results in its accumulation. Distention can be caused by a mechanical or anatomic obstruction, neuromuscular disorder, or the use of certain drugs.... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
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... Urethral discharge is an excretion from the urinary meatus that may be purulent, mucoid, or thin; sanguineous or clear; and scant or profuse. It usually develops suddenly, most commonly in men with a prostate infection.
History ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
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... Urinary incontinence, the uncontrollable passage of urine, can result from a bladder abnormality, a neurologic disorder, or an alteration in pelvic muscle strength. A common urologic sign, incontinence may be transient or permanent and may involve... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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...
A significant purulent urethral discharge invariably signals the
diagnosis of gonorrhea and, until a Gram stain is done, little consideration
is given to the other causes of a nonbloody urethral discharge. However, one
should also consider other etiologic... Pictures
... READ EXCERPTS »
...
Incontinence may be due to loss of voluntary control of urination, in
which case neurologic disorders are usually the cause, or it may result from
overflow of a distended bladder (overflow incontinence), in which case the
cause may be bladder neck
... READ EXCERPTS »
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