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Related Concept Videos

Muscles of the Pelvic Floor and Perineum01:26

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The muscles of the pelvic floor and perineum are crucial for supporting the pelvic organs, controlling continence, and aiding in sexual function, childbirth, and core stability. They are typically divided into the superficial perineal layer and the deep pelvic floor layer.
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The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...
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The nursing assessment of the genitourinary (GU) system involves a systematic inspection and palpation to identify abnormalities in the kidneys, bladder, and surrounding structures.InspectionMouth: Inspect for signs of kidney dysfunction, such as stomatitis (inflammation of the mouth) and ammonia breath, which may occur in advanced kidney disease due to the buildup of urea, breaking down into ammonia.Skin: Check for pallor, which could indicate anemia caused by kidney disease. Look for...
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Assessment of the Rectum and Anus01:25

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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
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Nursing Assessment of the Genitourinary System I: Health History01:21

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The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...
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Nursing Assessment of the Genitourinary System III: Percussion and Auscultation01:22

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The genitourinary system maintains the body's fluid balance, waste excretion, and overall homeostasis. Proper assessment is essential for early detection of disorders, with percussion and auscultation integral to this evaluation. These methods help identify signs of kidney or bladder issues and provide important diagnostic clues.Percussion for Kidney TendernessPercussion is used to assess tenderness and detect kidney and bladder abnormalities. A common method for determining kidney tenderness...
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ACR Appropriateness Criteria pelvic floor dysfunction.

Harpreet K Pannu1, Marcia C Javitt2, Phyllis Glanc3

  • 1Memorial Sloan Kettering Cancer Center, New York, New York.

Journal of the American College of Radiology : JACR
|February 6, 2015
PubMed
Summary

Imaging plays a crucial role in diagnosing pelvic floor dysfunction by revealing hidden abnormalities and guiding treatment. It is most valuable when patients are symptomatic, aiding both pre-operative and post-operative care.

Keywords:
Appropriateness criteriaMRIfluoroscopypelvic floor dysfunctionultrasound

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Area of Science:

  • Radiology
  • Pelvic Floor Disorders
  • Medical Imaging

Background:

  • Pelvic floor dysfunction is a common and complex condition.
  • Physical examination alone may not identify all abnormalities.
  • Imaging offers valuable insights into pelvic floor defects.

Purpose of the Study:

  • To highlight the role of imaging in diagnosing pelvic floor dysfunction.
  • To emphasize the importance of symptomatic presentation for clinical relevance of imaging findings.
  • To discuss the selection of appropriate imaging modalities based on clinical needs.

Main Methods:

  • Review of current medical literature.
  • Application of modified Delphi consensus methodology.
  • Development of evidence-based guidelines (ACR Appropriateness Criteria).

Main Results:

  • Imaging can reveal clinically occult abnormalities in pelvic floor dysfunction.
  • Imaging is beneficial in pre-operative and post-operative management.
  • The choice of imaging modality depends on patient symptoms and desired clinical information.

Conclusions:

  • Imaging is a valuable adjunct to physical examination for pelvic floor dysfunction.
  • Symptomatic correlation is essential for the clinical relevance of imaging findings.
  • ACR Appropriateness Criteria provide expert-guided recommendations for imaging procedures.