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Is there fever? A significant fever would suggest either pyelonephritis, particularly in females, or acute prostatitis in males.
Is the urine grossly bloody or are there a significant number of red ... DIAGNOSTIC WORKUP
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Dysuria is a painful or burning sensation during or immediately after urination. This is a common symptom in primary care; nearly 20% of women aged 20–55 will have one episode of dysuria per year. Women have episodes of acute dysuria much more frequently than men. The most... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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A perceived or observed decrease in the strength or flow of one's urine stream is a common complaint. This is often of concern to the patient because of the concern about both a serious medical problem and the slowing of urination and associated dribbling or incomplete emptying that... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Dysuria is defined as pain with urination and is a very common complaint in female children. It is commonly due to either urinary tract infection or perineal irritation from a variety of causes.
Differential Diagnosis
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... Dysuria is difficult or painful micturition. One could cover most of the causes simply by considering the inflammatory lesions of the genitourinary tract in ascending order. Thus, there may be a urethritis or urethral carbuncle, a
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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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... Hesitancy — difficulty starting a urine stream generally followed by a decrease in the force of the stream — can result from a urinary tract infection, a partial lower urinary tract obstruction, a neuromuscular disorder, or use of certain drugs.... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers
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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 the use of certain... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... Dysuria—painful or difficult urination—is commonly accompanied by urinary frequency, urgency, or hesitancy. This symptom usually reflects lower urinary tract infection (UTI)—a common disorder, especially in women. (See Preventing urinary tract... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Geriatric pointers ... Pictures
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... Urinary hesitancy—difficulty starting a urine stream generally followed by a decrease in the force of the stream—can result from a urinary tract infection (UTI), a partial lower urinary tract obstruction, a neuromuscular disorder, or use of certain... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers
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... David M. Quillen
Approach Dysuria is defined as “painful urination.” Acute dysuria is a frequent problem seen in ambulatory practices, accounting for more than three million office visits a year. The most common... History ... Physical examination ... Testing ... Diagnostic assessment
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... Differential Overview
❑ Lower urinary tract infection
❑ Acute pyelonephritis
❑ Urethritis
❑ Vaginitis ... Diagnostic Approach ... Clinical Findings ... 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. Relatively... Emergency Actions ... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... Dysuria (painful or difficult urination) is commonly accompanied by urinary frequency, urgency, or hesitancy. This symptom usually reflects lower urinary tract infection (UTI) — a common disorder, especially in women.
... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Geriatric pointers ... Patient counseling ... Pictures
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... Urinary hesitancy — difficulty starting a urine stream generally followed by a decrease in the force of the stream — can result from a urinary tract infection (UTI), a partial lower urinary tract obstruction, a neuromuscular disorder, or use of... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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...Dysuria (pain on urination) is usually producedby inflammation of urethra or bladder or both. Principal Causes of Dysuria Urinarytract infection Urethritis Cystitis Pyelonephritis ... Clinical Features and Diagnosis ... Diagnostic Approach ... Table 15.1. Criteria for Diagnosis of Urinary Tract Infections ... 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... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
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... Dysuria—painful or difficult urination—is commonly accompanied by urinary frequency, urgency, or hesitancy. This symptom usually reflects lower urinary tract infection (UTI)—a common disorder, especially in women.
Dysuria results from lower urinary tract... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
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... Hesitancy—difficulty starting a urine stream generally followed by a decrease in the force of the stream—can result from a urinary tract infection (UTI), a partial lower urinary tract obstruction, a neuromuscular disorder, or use of certain... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
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Dysuria is difficult or painful micturition. One could cover most of
the causes simply by considering the inflammatory lesions of the
genitourinary tract in ascending order. Thus, there may be a urethritis or
urethral... Pictures
... READ EXCERPTS »