Genitourinary
SENSORY INDOOR/OUTDOOR ENVIRONMENT
What further questions do you have for Laura at this visit?
1,) Are you having frequent urination?
Do you have any pain in your abdomen?
Do you noticed that there is a change in color and odor of your urine?
Do you have painful intercourse?
Do you have any nausea, vomiting?
Do you have any fever, or chills?
Any history of mental illness?
Do you have any changes in sleep pattern?
Do you have any kind of abnormal uterine bleeding?
What is your differential diagnosis list for this visit thus far with rationale?
Cystitis in Females
Multiple Sclerosis
Prostatitis
Spinal Cord Neoplasms
Spinal Cord Trauma and Related Diseases
Spinal Epidural Abscess
Urinary Obstruction
Urinary Tract Infection in Males
Uterine Prolapse in Emergency Medicine
Vaginitis
Based on your differential diagnoses list, identify what body systems you'd examine along with pertinent positive/negatives in each system and any diagnostic tests you would like to perform?
Positive
Negatives
Diagnostic Test
Body Part
Cystitis in Females
A positive leukocyte esterase dipstick test suffices in most instances
Oral therapy with an empirically chosen antibiotic
Bladder
Multiple Sclerosis
Many different treatments
Attacks the nervous system making it hard to treat immunomodulatory therapy central nervous system
Spinal Cord Neoplasms
Use of spinal immobilization precautions may be prudent when neurologic impairment is suggested.
For the emergency physician, the...
Inpatient care for patients with uterine prolapse is indicated only in cases complicated by severe ulceration, infection, or renal failure (J. Maxwell White, 2012)
Pregnancy is believed to be the main cause of pelvic organ prolapse. It can occur immediately after pregnancy or 30 years later. Many factors like the weight of the baby, the physical trauma of labor, and birth stresses can strain the pelvic muscles and ligaments.
Vaginitis
Can be caught early
Flows daily
Pelvic exam vagina
References
Genitourinary Assessment. (2016, February 15). Retrieved from https://www.crnbc.ca/Standards/CertifiedPractice/Documents/FirstCall/713GenitourinaryAssessmentAdultDST.pdf
J. Maxwell White, J. (2012, May 7). Chapter 180An Overview of the Genitourinary System. Retrieved from Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition.: http://www.ncbi.nlm.nih.gov/books/NBK290/
Medscape. (2016, February 15). Retrieved from http://emedicine.medscape.com/article/797295-treatment
